Heaven Bones

NPI #1750191672 in O Fallon, Illinois

Provider Information

NPI Number: 1750191672
Entity Type: Individual
Name: Heaven Bones
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 1716 CORPORATE XING STE 3
City: O Fallon
State: Illinois
ZIP Code: 62269-3734
Phone: (618) 226-4687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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