Amanda Custodio
Behavior Technician · Oak Park, IL
NPI number
1609377357
Practice location
6930 Roosevelt RdOak Park, IL 60304-1845
- Phone
- (708) 948-0074
NPI record
- NPI
- 1609377357
- Entity type
- Individual (Type 1)
- Enumeration date
- February 27, 2018
- Last updated
- February 27, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | IL |
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
- Phone
- (818) 345-2345
About Amanda Custodio
Amanda Custodio is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 6930 Roosevelt Rd, Oak Park, IL 60304-1845. The NPI number 1609377357 was assigned on February 27, 2018 and the record was last updated on February 27, 2018.
Frequently asked questions
What is the NPI number of Amanda Custodio?
The NPI number is 1609377357.
What is the phone number of Amanda Custodio?
The phone number listed for the practice location is (708) 948-0074.
Where is Amanda Custodio located?
6930 Roosevelt Rd, Oak Park, IL 60304-1845.
What is the taxonomy code for Amanda Custodio?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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