Grace C Whitaker, RBT

NPI #1124511175 in Edwardsville, Illinois

Provider Information

NPI Number
1124511175
Entity Type
Individual
Name
Grace C Whitaker, RBT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Jun 13, 2018
Last Updated
Jun 13, 2018

Practice Location

Address
115 ROTTINGHAM CT STE A
ZIP Code
62025-3677
Phone
(866) 522-2467

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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