NPI 1730631359

Courtney Tidwell

Practitioner Assistant Behavior Analyst Naperville, IL

Practice location

Address: 1280 Iroquois Ave Suite 402, Naperville, IL 60563-8551
Phone: (630) 229-8843
Mailing address: 19631 Clifton Way, Mokena, IL 60448-8158

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1730631359
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2016
Record last updated: 31 Oct 2016

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.