Kara Iris Abigail Vidales, RBT

NPI #1952985699 in Herrin, Illinois

Provider Information

NPI Number: 1952985699
Entity Type: Individual
Name: Kara Iris Abigail Vidales, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: May 10, 2021
Last Updated: May 10, 2021

Practice Location

Address: 3022 S PARK AVE STE B
City: Herrin
State: Illinois
ZIP Code: 62948-3721
Phone: (217) 525-8332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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