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

KATRINA PARKS RENZAGLIA, BCBA

Active

KATRINA PARKS RENZAGLIA, BCBA is a Behavior Analyst healthcare provider located in ALTO PASS, Illinois. NPI 1326664038 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · ALTO PASS, IL

Registration Details

NPI Number
1326664038
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2020 (6.168531048118 yrs)
Last Updated
Jun 18, 2020
License
1-13-13542 (IL)

Practice Information

Address
87 HARRIS LN
ALTO PASS, IL, 629051023
Browse IL providers · Browse ZIP 62905
Phone
6185215049
Primary Specialty
Behavior Analyst
103K00000X
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.