De'jiah Edwards
NPI #1700766144 in Forest Park, Illinois
Provider Information
- NPI Number
- 1700766144
- Entity Type
- Individual
- Name
- De'jiah Edwards
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 5, 2025
- Last Updated
- Sep 5, 2025
Practice Location
- Address
- 7228 CIRCLE AVE
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-1163
- Phone
- (630) 632-4350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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