Pawelle Kole

NPI #1053163055 in O'fallon, Illinois

Provider Information

NPI Number: 1053163055
Entity Type: Individual
Name: Pawelle Kole
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 3, 2024
Last Updated: Apr 3, 2024

Practice Location

Address: 643 N MAIN ST
Address 2: SUITE 4
City: O'fallon
State: Illinois
ZIP Code: 62269
Phone: (618) 726-5870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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