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Individual

DELANEY DEVOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 EXECUTIVE PL STE 201, GENEVA, IL 60134-3805
(815) 223-2237
Mailing address
120 S 14TH ST APT E, SAINT CHARLES, IL 60174-2542

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-255966

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23-255966
RBT
Enumeration date
11/09/2023
Last updated
11/09/2023
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