Individual provider · Type 1 NPI

Dina Breanne Maxine Woodworth

Behavior Analyst · O Fallon, IL

NPI number 1053955906 Active

Practice location

634 N Main St
O Fallon, IL 62269-3751

Call (618) 726-0701 Map

Fax (224) 210-1514

Mailing address

2222 Rockwood Dr
Belleville, IL 62221-6839

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XW363-1629-3972 (IL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1053955906

Dina Breanne Maxine Woodworth's National Provider Identifier is 1053955906, issued on Nov 4, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in O Fallon, IL. The record was last updated on Nov 4, 2019.