Individual
KATRAVIEA HURT DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HOLIDAY PLAZA DR, MATTESON, IL 60443-2241
(708) 926-1571
Mailing address
17724 LARKSPUR LN, HOMEWOOD, IL 60430-1129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/25/2024
Last updated
07/21/2025
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