Individual
DANIELLE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4823 MEADOW LAKE DR, RICHTON PARK, IL 60471-1186
(312) 619-9799
Mailing address
4823 MEADOW LAKE DR, RICHTON PARK, IL 60471-1186
(312) 619-9799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
Primary
150.118460
IL
Other
Enumeration date
10/15/2014
Last updated
03/07/2026
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