John Michicich

NPI #1790505980 in Wheaton, Illinois

Provider Information

NPI Number: 1790505980
Entity Type: Individual
Name: John Michicich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 140 E LOOP RD
City: Wheaton
State: Illinois
ZIP Code: 60189-8407
Phone: (312) 243-8487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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