Ryan J Bong, RBT-19-107090
NPI #1659918803 in Northbrook, Illinois
Provider Information
- NPI Number
- 1659918803
- Entity Type
- Individual
- Name
- Ryan J Bong, RBT-19-107090
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- RBT-19-107090
- Enumeration Date
- Dec 6, 2019
- Last Updated
- Dec 6, 2019
Practice Location
- Address
- 5 REVERE DR STE 120
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-8005
- Phone
- (847) 306-9843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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