Individual
KAITLYNN NYKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 LAKEVIEW PKWY, VERNON HILLS, IL 60061-1857
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
(877) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74354
IL
106S00000X
Behavior Technician
RBT-21-170148
IL
Other
Enumeration date
06/04/2021
Last updated
08/06/2024
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