AVERY KETTEMAN, RBT

Behavior Technician

Active Individual
NPI: 1942087580

Practice Address

3022 S PARK AVE STE B
Herrin, IL 62948

Phone: (217) 525-8332

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1942087580 is the National Provider Identifier for AVERY KETTEMAN, RBT, a Behavior Technician provider located in Herrin, IL. This NPI was enumerated on September 8, 2023.
AVERY KETTEMAN, RBT practices at 3022 S PARK AVE STE B, Herrin, IL 62948.

Quick Facts

NPI
1942087580
Type
Individual
Enumerated
Sep 8, 2023
Last Updated
Sep 8, 2023

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