Stephanie Rose O'malley, RBT-18-67835

NPI #1053887034 in Northbrook, Illinois

Provider Information

NPI Number: 1053887034
Entity Type: Individual
Name: Stephanie Rose O'malley, RBT-18-67835
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-18-67835
Enumeration Date: Oct 17, 2018
Last Updated: Oct 17, 2018

Practice Location

Address: 5 REVERE DR STE 120
City: Northbrook
State: Illinois
ZIP Code: 60062-8005
Phone: (847) 306-9843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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