Dianna Katherine Poulos in Island Lake - Behavior Analyst
Dianna Katherine Poulos - NPI 1831377944
Dianna Katherine Poulos is a Behavior Analyst in Island Lake, Illinois. Dianna Katherine Poulos practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Dianna Katherine Poulos is 1831377944. The last update date is 2012-09-12.
Dianna Katherine Poulos's current location address is 4363 Waters Edge Dr, Island Lake, Illinois. You can contact this provider via phone number 8473315370. The mailing address for Dianna Katherine Poulos is 4363 Waters Edge Dr, Island Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dianna Katherine Poulos |
|---|---|
| Address | 4363 Waters Edge Dr, Island Lake, Illinois |
| Phone Number | 8473315370 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A.,BCBA |
NPI Number Detail
| NPI Number | 1831377944 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2012-09-12 |
Provider Mailing Address Detail
| Address | 4363 Waters Edge Dr |
|---|---|
| City | Island Lake |
| State | Illinois (IL) |
| Post Code | 600428221 |
| Phone Number | 8473315370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
| Licence No | 6494-01-09 0 |
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Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
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What is the unique 10-digit identification code assigned to Dianna Katherine Poulos by the Centers for Medicare & Medicaid Services?
The Dianna Katherine Poulos has been issued the NPI (National Provider Identifier) 1831377944, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dianna Katherine Poulos?
The Dianna Katherine Poulos is situated at 4363 Waters Edge Dr, in the city of Island Lake, state of IL, with the zip code 600428221.
What is the area of specialization for Dianna Katherine Poulos, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dianna Katherine Poulos is Behavior Analyst, and the corresponding taxonomy code that categorizes this area of expertise is 103K00000X.
On what date did Dianna Katherine Poulos receive its 1831377944 assignment from the Centers for Medicare & Medicaid Services?
The Dianna Katherine Poulos was assigned its 1831377944 on 2008-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dianna Katherine Poulos most recently updated or revised?
The information pertaining to Dianna Katherine Poulos, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-12.
NPI Number: 1083602577
Address: 11535 Carmel Commons Blvd, Charlotte, NC