Jennifer Marie Mika, RBT-17-38602
Jennifer Marie Mika, RBT-17-38602 is a Behavior Technician in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
2340 19th AveRockford, IL 61104-5614
Phone: (608) 713-2296
Fax: (608) 713-2296
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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 17-38602 (IL) |
|---|
Record details
| NPI number | 1639669906 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RBT-17-38602 |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2018 |
| Last updated in NPPES | May 13, 2018 |
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