Deanna Louise Pettis

NPI #1154101004 in North Riverside, Illinois

Provider Information

NPI Number: 1154101004
Entity Type: Individual
Name: Deanna Louise Pettis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 7222 W CERMAK RD STE 500
City: North Riverside
State: Illinois
ZIP Code: 60546-1443
Phone: (866) 695-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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