Individual
ANITA MARLENE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(855) 832-6727
Mailing address
218 HUNTER ST, LEBANON, IL 62254-1220
(314) 853-3763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-473159
IL
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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