Shalae Mayville

NPI #1154047223 in Northbrook, Illinois

Provider Information

NPI Number: 1154047223
Entity Type: Individual
Name: Shalae Mayville
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 19, 2022
Last Updated: Oct 19, 2022

Practice Location

Address: 85 REVERE DR STE AA
City: Northbrook
State: Illinois
ZIP Code: 60062-8001
Phone: (844) 247-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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