Mr. Nicolai Stone Koruba, GD
Mr. Nicolai Stone Koruba, GD is a Behavior Technician in Plainfield, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
23909 W Renwick Rd Ste 105Plainfield, IL 60544-2109
Phone: (779) 234-9583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (IL) |
|---|
Record details
| NPI number | 1124896014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | GD |
| Sole proprietor | No |
| NPI enumerated | December 19, 2023 |
| Last updated in NPPES | September 6, 2024 |
| Certification date | September 6, 2024 |
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