Michael Christopher Randolph
NPI #1922752153 in Lake Bluff, Illinois
Provider Information
- NPI Number
- 1922752153
- Entity Type
- Individual
- Name
- Michael Christopher Randolph
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 7, 2022
- Last Updated
- Feb 7, 2022
Practice Location
- Address
- 917 SHERWOOD DR STE 201
- City
- Lake Bluff
- State
- Illinois
- ZIP Code
- 60044-2235
- Phone
- (855) 318-6404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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