Individual
DANIELLE LEAH PARADISE-FYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
309 WALNUT ST, ST CHARLES, IL 60174-2767
(630) 286-0026
Mailing address
312 MARSHALL AVE STE 102, LAUREL, MD 20707-4840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/05/2018
Last updated
05/06/2021
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