Most Relevant Information
Provider Data
| NPI Number: | 1003560228 |
| Provider Name: | DIANA DEWAARD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/07/2022 |
| Last Updated: | 02/07/2022 |
Provider Practice Location
3912 TURNER AVE
PLANO
IL
605459727
Practice Location Phone/Fax
| Phone: | 8883083728 |
| Fax: |
Provider Mailing Location
245 W ROOSEVELT RD STE 103
WEST CHICAGO
IL
601854819
Provider Mailing Phone/Fax
| Phone: | 8883083728 |
| Fax: |