Stephanie Wisneski

NPI #1144826413 in Lockport, Illinois

Provider Information

NPI Number: 1144826413
Entity Type: Individual
Name: Stephanie Wisneski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 10, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 607 STEPHANIE DR
City: Lockport
State: Illinois
ZIP Code: 60441-7306
Phone: (815) 474-2436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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