Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANNA KATHERINE POULOS, M.A.,BCBA
Active Sole ProprietorDIANNA KATHERINE POULOS, M.A.,BCBA is a Behavior Analyst healthcare provider located in ISLAND LAKE, Illinois. NPI 1831377944 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · ISLAND LAKE, IL
Registration Details
- NPI Number
- 1831377944
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2008 (18.50897676952 yrs)
- Last Updated
- Sep 12, 2012
- License
-
1-09-6494 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4363 WATERS EDGE DRISLAND LAKE, IL, 600428221Browse IL providers · Browse ZIP 60042
- Phone
- 8473315370
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in ISLAND LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| LAUREN RIDER | — | 1952534059 |
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.