Nicole Kudlacz

NPI #1225750144 in Roselle, Illinois

Provider Information

NPI Number: 1225750144
Entity Type: Individual
Name: Nicole Kudlacz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 16, 2022
Last Updated: Sep 16, 2022

Practice Location

Address: 235 SPRINGHILL DR APT 313
City: Roselle
State: Illinois
ZIP Code: 60172-2455
Phone: (244) 509-1006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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