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1699582080
MALIK JOHNICAN
PLAINFIELD, IL
NPI
1699582080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL 1295349389)
Enumeration Date
2024-12-18
Last Update Date
2025-11-12
Business Address
MALIK JOHNICAN RBT
23909 W RENWICK RD STE 105
PLAINFIELD, IL 60544-2109
Phone number: 779-234-9583
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Mailing Address
MALIK JOHNICAN RBT
1315 MACOM DR STE 103
NAPERVILLE, IL 60564-9360
Phone number: 630-585-7337
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