Jacquelyn Rose Fara, RBT-16-19382
Jacquelyn Rose Fara, RBT-16-19382 is a Behavior Technician in St Charles, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
1707 S 5th PlSt Charles, IL 60174-4324
Phone: (630) 335-9962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-16-19382 (IL) |
|---|
Record details
| NPI number | 1174015994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RBT-16-19382 |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2018 |
| Last updated in NPPES | June 6, 2018 |
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