MEDICARE: DAISJA HOWARD

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
1	106S00000X	Behavior Technician	RBT-25-406485	IN

General Provider Information

NPI Number	:	1295546018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAISJA HOWARD

Provider Business Mailing Address
First Line	:	19908 BROOK AVE
Second Line	:
City	:	LYNWOOD
State	:	IL
Zip	:	60411-1412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10419 CALUMET AVE STE B
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-4059
Country	:	US
Telephone Number	:	219-491-1759
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	01/20/2025

Similar Medicare Providers

1790642064 — CHLOE COLEMAN
Practice Location Address:

10419 CALUMET AVE
MUNSTER, IN
46321-4059

Practice Phone: 219-301-9715
Practice Fax:

1831056183 — TRACEY MITCHELL RBT
Practice Location Address:

10419 CALUMET AVE STE B
MUNSTER, IN
46321-4059

Practice Phone: 219-301-9715
Practice Fax:

1609351352 — MS. KRISTIN ALYSE ROWLAND MS, BCBA
Practice Location Address:

10419 CALUMET AVE STE B
MUNSTER, IN
46321-4059

Practice Phone: 219-491-1759
Practice Fax:

1861165896 — AMBER GONZALEZ BCBA
Practice Location Address:

10419 CALUMET AVE
MUNSTER, IN
46321-4059

Practice Phone: 219-491-1759
Practice Fax:

1932910197 — CHARLES FLORES
Practice Location Address:

10419 CALUMET AVE
MUNSTER, IN
46321-4059

Practice Phone: 219-301-9716
Practice Fax:

1326859190 — EBELIN MARTINEZ
Practice Location Address:

10419 CALUMET AVE STE B
MUNSTER, IN
46321-4059

Practice Phone: 219-491-1759
Practice Fax:

Directions to “ DAISJA HOWARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.