Elizabeth Divine
Elizabeth Divine is a Behavior Technician in O Fallon, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
634 N Main StO Fallon, IL 62269-3751
Phone: (618) 726-5870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1003525940 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 18, 2022 |
| Last updated in NPPES | November 18, 2022 |
| Certification date | November 18, 2022 |
| Mailing address | 634 N Main St, O Fallon, IL 62269-3751 |
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