Maria E Goris, RBT 17-44623

NPI #1124510565 in Lombard, Illinois

Provider Information

NPI Number: 1124510565
Entity Type: Individual
Name: Maria E Goris, RBT 17-44623
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT 17-44623
Enumeration Date: Jun 1, 2018
Last Updated: Jun 1, 2018

Practice Location

Address: 541 S ELIZABETH ST
City: Lombard
State: Illinois
ZIP Code: 60148-2523
Phone: (630) 629-2696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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