Individual provider · Type 1 NPI

Tiana Shevon Kubik

Developmental Therapist · Chicago, IL

NPI number 1235454216 Active

Practice location

1346 W Estes 1-S
Chicago, IL 60626-5475

Fax (248) 671-0487

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1235454216

Tiana Shevon Kubik's National Provider Identifier is 1235454216, issued on Apr 1, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 1, 2010.