Individual
DYLAN CATHERINE TARVER-ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 NEWGATE LN APT C, PROSPECT HEIGHTS, IL 60070-2890
(847) 306-9843
Mailing address
708 NEWGATE LN APT C, PROSPECT HEIGHTS, IL 60070-2890
(847) 306-9843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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