Individual
MARIAH BISCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 PARK DR, MELROSE PARK, IL 60160-2231
(708) 703-0124
Mailing address
922 PARK DR, MELROSE PARK, IL 60160-2231
(708) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58032
IL
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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