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NPI Code Detail

MEDICARE: JANANI VAIDYA

MEDICARE: JANANI VAIDYA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-15-21134IL

General Provider Information

NPI Number : 1710383997
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANANI VAIDYA
Provider Business Mailing Address
First Line : 8333 AUSTIN AVE
Second Line :
City : BURBANK
State : IL
Zip : 60459-2558
Country : US
Telephone Number : 708-636-0054
Fax Number :
Provider Business Practice Location Address
First Line : 8333 AUSTIN AVE
Second Line :
City : BURBANK
State : IL
Zip : 60459-2558
Country : US
Telephone Number : 708-636-0054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2014
Last Update Date : 04/19/2016

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Directions to “ JANANI VAIDYA ” Practice Location

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