Diane Mathias, RBT

NPI #1518457563 in Chicago Ridge, Illinois

Provider Information

NPI Number: 1518457563
Entity Type: Individual
Name: Diane Mathias, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: May 15, 2018
Last Updated: May 15, 2018

Practice Location

Address: 6245 BIRMINGHAM ST
City: Chicago Ridge
State: Illinois
ZIP Code: 60415-1532
Phone: (815) 474-2282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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