Individual
JAYDA MCDOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CEDAR RIDGE LN, RICHTON PARK, IL 60471-2255
(773) 875-1516
Mailing address
3745 216TH PL, MATTESON, IL 60443-2722
(708) 439-1319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-313831
IL
Other
Enumeration date
09/10/2024
Last updated
03/17/2025
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