Thanaphat Martino

NPI #1750955217 in Elmhurst, Illinois

Provider Information

NPI Number: 1750955217
Entity Type: Individual
Name: Thanaphat Martino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 18, 2021
Last Updated: May 18, 2021

Practice Location

Address: 111 W 3RD ST UNIT 311
City: Elmhurst
State: Illinois
ZIP Code: 60126-2660
Phone: (708) 340-2868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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