Individual
MAITHRI RAMESH MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189-5855
(630) 509-4911
Mailing address
1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189-5855
(630) 509-4911
(779) 216-3069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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