Individual
JANANI VAIDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8333 AUSTIN AVE, BURBANK, IL 60459-2558
(708) 636-0054
Mailing address
8333 AUSTIN AVE, BURBANK, IL 60459-2558
(708) 636-0054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-21134
IL
Other
Enumeration date
11/14/2014
Last updated
04/19/2016
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