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1003544784
RYAN MCMICKING
NORTHBROOK, IL
NPI
1003544784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-22-226946)
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
RYAN MCMICKING
85 REVERE DR STE AA
NORTHBROOK, IL 60062-8001
Phone number: 844-247-7222
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Mailing Address
RYAN MCMICKING
PO BOX 639561
CINCINNATI, OH 45263-9561
Phone number: 844-247-7222
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