Nicole Dziekonski

NPI #1477028108 in Itasca, Illinois

Provider Information

NPI Number: 1477028108
Entity Type: Individual
Name: Nicole Dziekonski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2018
Last Updated: Oct 9, 2018

Practice Location

Address: 901 W HAWTHORN DRIVE
City: Itasca
State: Illinois
ZIP Code: 60143
Phone: (800) 844-1232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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