SearchIllinois103K00000X

Mary Waterman, BCBA

NPI 1982070736 · on the registry since 2015

Practice

Address
219 S Chase St
Wheaton, IL 60187
Phone
(630) 715-1513

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois