Daniel Mikel Childress, BCBA Valid NPI
Individual provider · Behavior Analyst · O Fallon, IL
- NPI
- 1659918977
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 1-19-37116 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-12-05
- Last updated
- 2019-12-05
Practice location
145 Springfield Ct
O Fallon, IL 62269-2495
(217) 525-8332