Individual
DIANA LEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6430 N CENTRAL AVE, CHICAGO, IL 60646-2925
(312) 806-7937
Mailing address
6011 N WINTHROP AVE APT 312, CHICAGO, IL 60660-2652
(773) 747-2344
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-358592
IL
Other
Enumeration date
07/15/2024
Last updated
07/16/2024
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