Marissa Rucker, RBT

Behavior Technician · La Grange Park, IL

Individual Active NPI

NPI number 1407375710

Practice location

306 N Kensington Ave
La Grange Park, IL 60526-1870
Phone
(312) 965-2997

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NPI record

NPI
1407375710
Entity type
Individual (Type 1)
Enumeration date
September 18, 2017
Last updated
September 18, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

4875 N Paulina St Apt 2a
Chicago, IL 60640-4176

About Marissa Rucker

Marissa Rucker, RBT is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 306 N Kensington Ave, La Grange Park, IL 60526-1870. The NPI number 1407375710 was assigned on September 18, 2017 and the record was last updated on September 18, 2017.

Frequently asked questions

What is the NPI number of Marissa Rucker, RBT?

The NPI number is 1407375710.

What is the phone number of Marissa Rucker?

The phone number listed for the practice location is (312) 965-2997.

Where is Marissa Rucker located?

306 N Kensington Ave, La Grange Park, IL 60526-1870.

What is the taxonomy code for Marissa Rucker?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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