NPI 1043070493

Nicholas Kester Dane, BEHAVIORTECHNICIAN

Practitioner Behavior Technician O Fallon, IL

Practice location

Address: 1716 Corporate Xing STE 3, O Fallon, IL 62269-3734
Phone: (844) 244-1818
Mailing address: 1500 S Douglas Rd STE 230, Coral Gables, FL 33134-4108

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Illinois →

Registry record

NPI: 1043070493
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2024
Record last updated: 21 Mar 2024

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.