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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN ROSE FARA, RBT-16-19382

Active Sole Proprietor

JACQUELYN ROSE FARA, RBT-16-19382 is a Behavior Technician healthcare provider located in ST CHARLES, Illinois. NPI 1174015994 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · ST CHARLES, IL

Registration Details

NPI Number
1174015994
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2018 (8.0107858444747 yrs)
Last Updated
Jun 6, 2018
License
RBT-16-19382 (IL)
Sole Proprietor
Yes

Practice Information

Address
1707 S 5TH PL
ST CHARLES, IL, 601744324
Browse IL providers · Browse ZIP 60174
Phone
6303359962
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ST CHARLES, IL

Name Credential NPI
LEEANN DIXON 1225516016
BRIAN A WHITE 1912474305
MEGAN TROFIMUK 1790348662
MARGARET KEMPFF 1609418664
CHRISTINA RIGBY 1750925871
MEREDITH CHRISTINA SIAMBEKOS 1750905626
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.