NPI 1013483551

Shruthi Radha Mahesh

Practitioner Behavior Technician Northbrook, IL

Practice location

Address: 5 Revere Dr STE 120, Northbrook, IL 60062-8005
Phone: (847) 306-9843

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1013483551
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2018
Record last updated: 23 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.