Most Relevant Information
Provider Data
| NPI Number: | 1003685439 |
| Provider Name: | BIANCA BELLA MARIE BEMBENEK RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-648963 |
Most Important Dates
| Enumeration Date: | 12/27/2023 |
| Last Updated: | 12/27/2023 |
Provider Practice Location
1515 N HARLEM AVE
OAK PARK
IL
603021250
Practice Location Phone/Fax
| Phone: | 6306324350 |
| Fax: |
Provider Mailing Location
1515 N HARLEM AVE
OAK PARK
IL
603021250
Provider Mailing Phone/Fax
| Phone: | 6306324350 |
| Fax: |