Poulos, Dianna Katherine

Poulos, Dianna Katherine is an sole proprietor health care provider with primary practice located at 4363 Waters Edge Dr , Island Lake IL 60042-8221. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Poulos, Dianna Katherine can be contacted via phone (847) 331-5370.

Contact Information

Primary practice address
4363 Waters Edge Dr Island Lake IL 60042-8221
Phone: (847) 331-5370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-09-6494 Illinois

Profile Details

NPI number 1831377944
LBN Legal business name Poulos, Dianna Katherine
Credentials M.A.,BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2008
Last updated Sep 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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