JENNIFER MARIE MIKA

ROCKFORD, IL
NPI1639669906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  17-38602)
Enumeration Date2018-05-13
Last Update Date2018-05-13
Business Address
JENNIFER MARIE MIKA RBT-17-38602
2340 19TH AVE
ROCKFORD, IL 61104-5614
Phone number: 608-713-2296
Mailing Address
JENNIFER MARIE MIKA RBT-17-38602
2340 19TH AVE
ROCKFORD, IL 61104-5614
Phone number: 608-713-2296