Individual
DANIEL LEE MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 FRANKLIN AVE STE L500, NORMAL, IL 61761-3551
(309) 452-0069
Mailing address
1302 FRANKLIN AVE STE L500, NORMAL, IL 61761-3551
(398) 452-0069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-3735-581014
IL
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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