Nico Crockett

NPI #1962976910 in Willowbrook, Illinois

Provider Information

NPI Number: 1962976910
Entity Type: Individual
Name: Nico Crockett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 13, 2019
Last Updated: Aug 27, 2020

Practice Location

Address: 6300 KINGERY HWY STE 102
City: Willowbrook
State: Illinois
ZIP Code: 60527-2250
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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