DANIEL MIKEL CHILDRESS

O FALLON, IL
NPI1659918977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  1-19-37116)
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
DANIEL MIKEL CHILDRESS BCBA
145 SPRINGFIELD CT
O FALLON, IL 62269-2495
Phone number: 217-525-8332
Mailing Address
DANIEL MIKEL CHILDRESS BCBA
145 SPRINGFIELD CT
O FALLON, IL 62269-2495
Phone number:
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