Mary Beth Wiegand

NPI #1760211205 in Normal, Illinois

Provider Information

NPI Number: 1760211205
Entity Type: Individual
Name: Mary Beth Wiegand
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 1, 2024
Last Updated: Aug 1, 2024

Practice Location

Address: 1302 FRANKLIN AVE
City: Normal
State: Illinois
ZIP Code: 61761-3551
Phone: (309) 452-0069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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