Lori Lea Mize, RBT-18-47299

NPI #1477042034 in Lake in the Hills, Illinois

Provider Information

NPI Number: 1477042034
Entity Type: Individual
Name: Lori Lea Mize, RBT-18-47299
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-18-47299
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 4185 GREENFIELD LN
City: Lake in the Hills
State: Illinois
ZIP Code: 60156-5515
Phone: (847) 651-4185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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