Individual provider · Type 1 NPI
Mario Aguilar, DT DEVELOPMENT THERA
Developmental Therapist · Berwyn, IL
Practice location
1842 S Home Ave, #2
Berwyn, IL 60402-1618
Fax (708) 788-0967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | MA42490698P (IL) |
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 1942331806
Mario Aguilar, DT DEVELOPMENT THERA's National Provider Identifier is 1942331806, issued on Mar 9, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Berwyn, IL. The record was last updated on Jul 8, 2007.