MALIK YUSEF GIDDENS

FAIRVIEW HEIGHTS, IL
NPI1174111884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   BACB648327)
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
MALIK YUSEF GIDDENS RBT
343 FOUNTAINS PKWY
FAIRVIEW HEIGHTS, IL 62208-2170
Phone number: 618-515-1441
Mailing Address
MALIK YUSEF GIDDENS RBT
343 FOUNTAINS PKWY
FAIRVIEW HEIGHTS, IL 62208-2170
Phone number:
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