Individual
DANIEL TIJERINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
7441 W ARRAN DR, FRANKFORT, IL 60423-8642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-1736733
IL
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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