Individual
DANIELA YVONNE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 W STONE AVE, LAKE FOREST, IL 60045-2958
(720) 822-9625
Mailing address
47 W STONE AVE, LAKE FOREST, IL 60045-2958
(847) 306-9843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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