Individual
VICTORIA ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 PARK PLACE CIR, MISHAWAKA, IN 46545-3511
(574) 287-4313
(574) 204-2868
Mailing address
3730 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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