Celia Roark
Celia Roark is a Behavior Technician in O Fallon, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6 Eagle Ctr Ste 1O Fallon, IL 62269-1945
Phone: (618) 206-8816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1164037917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 9, 2020 |
| Last updated in NPPES | September 9, 2020 |
| Certification date | September 9, 2020 |
| Mailing address | 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134-4108 |
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