Lisa Hanes, RBT-18-48335

NPI #1700376829 in Antioch, Illinois

Provider Information

NPI Number: 1700376829
Entity Type: Individual
Name: Lisa Hanes, RBT-18-48335
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-18-48335
Enumeration Date: May 14, 2018
Last Updated: May 14, 2018

Practice Location

Address: 1015 COTHERSTONE PL
City: Antioch
State: Illinois
ZIP Code: 60002-1121
Phone: (847) 204-0208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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