Individual
DIANNA DUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
0N465 FANCHON ST, WHEATON, IL 60187-3471
(630) 276-3085
Mailing address
0N465 FANCHON ST, WHEATON, IL 60187-3471
(630) 276-3085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9298
IL
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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