Individual provider · Type 1 NPI

Shavone Mack

Developmental Therapist · Franklin Park, IL

NPI number 1265266647 Active

Practice location

3320 Lincoln St
Franklin Park, IL 60131-1514

Mailing address

7258 S Yates Blvd
Chicago, IL 60649-2558

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 1265266647

Shavone Mack's National Provider Identifier is 1265266647, issued on Aug 28, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Franklin Park, IL. The record was last updated on Aug 28, 2024.