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1205303849
BRENDEN TYLER PHELPS
NORTHBROOK, IL
NPI
1205303849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-18-69560)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
BRENDEN TYLER PHELPS RBT-18-69560
5 REVERE DR STE 120
NORTHBROOK, IL 60062-8005
Phone number: 847-306-9843
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Mailing Address
BRENDEN TYLER PHELPS RBT-18-69560
5 REVERE DR STE 120
NORTHBROOK, IL 60062-8005
Phone number:
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