Individual
HEATHER NICOLE BEELER DUZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
(618) 489-5102
Mailing address
1156 CR 800N, SULLIVAN, IL 61951-6893
(217) 710-3554
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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