Individual
DISHA NITIN KADAKIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 E MAIN ST, SAINT CHARLES, IL 60174-2374
(630) 286-0026
Mailing address
940 LAKESTONE LN, AURORA, IL 60504-6433
(630) 421-5462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/25/2019
Last updated
05/25/2019
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