Individual
DIANA DEWAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3912 TURNER AVE, PLANO, IL 60545-9727
(888) 308-3728
Mailing address
245 W ROOSEVELT RD STE 103, WEST CHICAGO, IL 60185-4819
(888) 308-3728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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