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Individual

DANIEL PAUL DEROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, BS, RBT

Contact information

Practice address
27555 DIEHL RD, WARRENVILLE, IL 60555-3849
(630) 355-6533
Mailing address
1N754 REDBUD LN, WINFIELD, IL 60190-2027
(773) 858-2598

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
17-42325
IL
106S00000X
Behavior Technician
Primary
21-175436
IL

Other

Enumeration date
05/30/2018
Last updated
01/25/2022
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