Paz Franklin

Individual provider Active NPI Behavior Technician · Richton Park, IL

NPI 1003454059 · NPPES record last updated Dec 19, 2019

Key facts

NPI
1003454059
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3807 Dewey Ave
Richton Park, IL 60471-2566
Phone
(708) 921-0044
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3807 Dewey Ave
Richton Park, IL 60471-2566

Mailing address

3807 Dewey Ave
Richton Park, IL 60471-2566
Phone (708) 921-0044

Other providers in Richton Park, IL

All providers in Richton Park, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.