Kevin Medema

NPI #1730950213 in Itasca, Illinois

Provider Information

NPI Number: 1730950213
Entity Type: Individual
Name: Kevin Medema
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 12, 2024
Last Updated: Jan 12, 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 Analyst	103K00000X	Primary

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