Individual
DIANA L CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
317 N EAST ST, GARDNER, IL 60424
(815) 584-7380
Mailing address
317 N EAST ST, GARDNER, IL 60424-7024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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