Roksolana Kabanova, RBT-18-54347

NPI #1942798665 in Southlake, Texas

Provider Information

NPI Number: 1942798665
Entity Type: Individual
Name: Roksolana Kabanova, RBT-18-54347
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-18-54347
Enumeration Date: Apr 27, 2018
Last Updated: Apr 16, 2023

Practice Location

Address: 2104 GREENBRIAR DR
City: Southlake
State: Texas
ZIP Code: 76092-8355
Phone: (847) 442-9022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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