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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS DINA BREANNE MAXINE WOODWORTH

Active

MISS DINA BREANNE MAXINE WOODWORTH is a Behavior Analyst healthcare provider located in O FALLON, Illinois. NPI 1053955906 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · O FALLON, IL

Registration Details

NPI Number
1053955906
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2019 (6.7681107674361 yrs)
Last Updated
Nov 4, 2019
License
W363-1629-3972 (IL)

Practice Information

Address
634 N MAIN ST
O FALLON, IL, 622693751
Browse IL providers · Browse ZIP 62269
Phone
6187260701
Fax
2242101514
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in O FALLON, IL

Name Credential NPI
MRS. KEELY DEANNA LAWLER SABAINI BCBA, M.S. 1225479157
CYARA LANETTE COLEMAN ED.S, MA, BCBA, LBA 1740796671
DANIELLE MAGGIO 1255830790
ANGELA NICOLE MANGUM 1821598293
JACLYN MARIE HERBSTREIT 1174023253
TAYLOR NICOLE VALENTINE 1952801615
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.