Jada Riddle

NPI #1356183792 in Itasca, Illinois

Provider Information

NPI Number: 1356183792
Entity Type: Individual
Name: Jada Riddle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 7, 2024
Last Updated: Jun 7, 2024

Practice Location

Address: 975 W HAWTHORN DR
City: Itasca
State: Illinois
ZIP Code: 60143-2056
Phone: (800) 844-1232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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