Riley Imwie

NPI #1023899804 in Oak Lawn, Illinois

Provider Information

NPI Number: 1023899804
Entity Type: Individual
Name: Riley Imwie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 4615 W 103RD ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-4718
Phone: (331) 229-8839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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