MR. Nicolai Stone Koruba, GD
NPI #1124896014 in Plainfield, Illinois
Provider Information
- NPI Number
- 1124896014
- Entity Type
- Individual
- Name
- MR. Nicolai Stone Koruba, GD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- GD
- Enumeration Date
- Dec 19, 2023
- Last Updated
- Sep 6, 2024
Practice Location
- Address
- 23909 W RENWICK RD STE 105
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60544-2109
- Phone
- (779) 234-9583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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