Javonta Whitaker

NPI #1164398947 in Dolton, Illinois

Provider Information

NPI Number: 1164398947
Entity Type: Individual
Name: Javonta Whitaker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 16, 2025
Last Updated: Oct 16, 2025

Practice Location

Address: 14400 LINCOLN AVE
City: Dolton
State: Illinois
ZIP Code: 60419-1235
Phone: (708) 248-4678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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