Nia Fowlkes

NPI #1538936042 in Plainfield, Illinois

Provider Information

NPI Number: 1538936042
Entity Type: Individual
Name: Nia Fowlkes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 5, 2023
Last Updated: Dec 5, 2023

Practice Location

Address: 23909 W RENWICK RD STE 105
City: Plainfield
State: Illinois
ZIP Code: 60544-2109
Phone: (779) 234-9583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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