Individual
DEANNA LOUISE PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7222 W CERMAK RD STE 500, NORTH RIVERSIDE, IL 60546-1443
(866) 695-2221
Mailing address
1445 S LORRAINE RD APT 109, WHEATON, IL 60189-7033
(312) 614-9049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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