MRS. Lisa Brook Fowler-Kobylewski, RBT # 18-48630

NPI #1689163347 in Mokena, Illinois

Provider Information

NPI Number: 1689163347
Entity Type: Individual
Name: MRS. Lisa Brook Fowler-Kobylewski, RBT # 18-48630
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT # 18-48630
Enumeration Date: May 8, 2018
Last Updated: Jul 14, 2022

Practice Location

Address: 9500 BORMET DR STE 201
City: Mokena
State: Illinois
ZIP Code: 60448-8399
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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