Provider Demographics
NPI:1053800607
Name:KUHNHOFER, ANNETTE (RBT-16-24786)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:KUHNHOFER
Suffix:
Gender:F
Credentials:RBT-16-24786
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17625 ALLISON LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9354
Mailing Address - Country:US
Mailing Address - Phone:702-280-2868
Mailing Address - Fax:
Practice Address - Street 1:17625 ALLISON LN
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9354
Practice Address - Country:US
Practice Address - Phone:702-280-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILRBT-16-24786106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician