Individual
BRIAN A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6N202 BOXWOOD LN, ST CHARLES, IL 60175-8327
(630) 399-4672
Mailing address
6N202 BOXWOOD LN, ST CHARLES, IL 60175-8327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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