Kieley Angelina Hendricker, RBT

NPI #1013642826 in Springfield, Illinois

Provider Information

NPI Number: 1013642826
Entity Type: Individual
Name: Kieley Angelina Hendricker, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jul 18, 2022
Last Updated: Jul 18, 2022

Practice Location

Address: 5220 6TH STREET FRONTAGE RD E STE 1700
City: Springfield
State: Illinois
ZIP Code: 62703-5771
Phone: (217) 525-8332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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