Most Relevant Information
Provider Data
| NPI Number: | 1003489345 |
| Provider Name: | DANIELLE BENNETT RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2021 |
| Last Updated: | 07/23/2021 |
Provider Practice Location
8707 SKOKIE BLVD STE 402
SKOKIE
IL
600772269
Practice Location Phone/Fax
| Phone: | 7708808002 |
| Fax: | 7733043737 |
Provider Mailing Location
1030 W NEWPORT AVE UNIT 3
CHICAGO
IL
606571504
Provider Mailing Phone/Fax
| Phone: | 7708808002 |
| Fax: | 7733043737 |