Stephen Powell
NPI #1417596917 in Midlothian, Illinois
Provider Information
- NPI Number
- 1417596917
- Entity Type
- Individual
- Name
- Stephen Powell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 31, 2019
- Last Updated
- Dec 31, 2019
Practice Location
- Address
- 14400 KNOX AVE
- City
- Midlothian
- State
- Illinois
- ZIP Code
- 60445-2521
- Phone
- (708) 979-2162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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