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Individual

DIANNA NIELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6402 PINE TRAIL LN, UNIT 1, TINLEY PARK, IL 60477-5034
(708) 340-5004
Mailing address
6402 PINE TRAIL LN, UNIT 1, TINLEY PARK, IL 60477-5034

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
04/21/2017
Last updated
04/21/2017
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Product
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