Individual
RACHEL LYNN KLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 GEORGETOWN RD, TILTON, IL 61833-8109
(217) 443-4123
Mailing address
209 HARRISON ST, ROSSVILLE, IL 60963-1026
(217) 512-3149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39509
IL
103K00000X
Behavior Analyst
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—
Other
Enumeration date
05/22/2017
Last updated
02/05/2020
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