NPI 1073159463

Lori J Tretter

Practitioner Behavior Technician Edwardsville, IL

Practice location

Address: 115 Rottingham CT STE a, Edwardsville, IL 62025-3677
Phone: (866) 522-2467
Mailing address: 5220 6th Street Frontage Rd E STE 1700, Springfield, IL 62703-5771

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-102242 (IL)

Other Behavior Technician providers in Illinois →

Registry record

NPI: 1073159463
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2019
Record last updated: 21 Nov 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.