Miss. Dina Breanne Maxine Woodworth
Miss. Dina Breanne Maxine Woodworth is a Behavior Analyst in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
634 N Main StO Fallon, IL 62269-3751
Phone: (618) 726-0701
Fax: (224) 210-1514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence W363-1629-3972 (IL) |
|---|
Record details
| NPI number | 1053955906 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 4, 2019 |
| Last updated in NPPES | November 4, 2019 |
Other providers in O Fallon
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Marlon Van Ham
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Deanna Weaver
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Dominique Williams
634 N Main St, O Fallon, IL 62269-3751 · (618) 726-5870
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Porscha Williams
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Juliet Marie Wooldridge
634 N Main St Ste 4, O Fallon, IL 62269-3746 · (618) 726-0701