Kaylee Bothom
Kaylee Bothom is a Behavior Technician in Northbrook, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5 Revere Dr Ste 120Northbrook, IL 60062-8005
Phone: (847) 306-9843
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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 | 1861012320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2020 |
| Last updated in NPPES | April 24, 2020 |
| Certification date | April 24, 2020 |
| Mailing address | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 |
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Ryan J Bong, RBT-19-107090
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