Nicholas Kester Dane, BEHAVIOR TECHNICIAN

NPI #1043070493 in O Fallon, Illinois

Provider Information

NPI Number
1043070493
Entity Type
Individual
Name
Nicholas Kester Dane, BEHAVIOR TECHNICIAN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
BEHAVIOR TECHNICIAN
Enumeration Date
Mar 21, 2024
Last Updated
Mar 21, 2024

Practice Location

Address
1716 CORPORATE XING STE 3
ZIP Code
62269-3734
Phone
(844) 244-1818

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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