Individual
MR. FEDERICO DIODATO CARLO GUERRIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 306-9843
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-58572
IL
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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