NPI 1023571387

Kathleen Kunzman

Practitioner Behavior Technician Elmhurst, IL

Practice location

Address: 650 W Grand Ave STE 207, Elmhurst, IL 60126-1025
Phone: (844) 263-1613
Fax: (844) 263-1612

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 18-69688 (IN)

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Registry record

NPI: 1023571387
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2019
Record last updated: 12 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.