Maggie Rae Dejong
Maggie Rae Dejong is a Behavior Technician in Alton, Illinois. Licensed in Michigan. Registered with an NPI since 2018.
- Licensed in
- MI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2615 Edwards StAlton, IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-2504
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X (MI) |
Record details
| NPI number | 1922504406 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 3, 2018 |
| Last updated in NPPES | September 13, 2021 |
| Certification date | September 13, 2021 |
| Mailing address | 902 W Main St, West Frankfort, IL 62896-2210 |