Wellformed AI

NPI 1063956100 · live from the CMS NPI Registry

Diane Ashton

Behavior Analyst in Chicago Heights, IL. National Provider Identifier 1063956100, active.

NPI record

NPI1063956100 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location450 W 14th St, Chicago Heights, IL 60411
Practice phone708-444-1012
Mailing address17746 Oak Park Ave, Tinley Park, IL 60477
EnumeratedDecember 8, 2016
Last updatedDecember 8, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.