Tatyana Bannon

NPI #1689428328 in Itasca, Illinois

Provider Information

NPI Number: 1689428328
Entity Type: Individual
Name: Tatyana Bannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 17, 2024
Last Updated: Apr 17, 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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