Tremell Wade

NPI #1184495996 in Chicago, Illinois

Provider Information

NPI Number: 1184495996
Entity Type: Individual
Name: Tremell Wade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 10, 2024
Last Updated: Jan 10, 2024

Practice Location

Address: 1315 N AUSTIN BLVD APT 2
City: Chicago
State: Illinois
ZIP Code: 60651-1025
Phone: (312) 841-2563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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