Provider Demographics
NPI:1194510875
Name:TURNER, DEJA
Entity type:Individual
Prefix:
First Name:DEJA
Middle Name:
Last Name:TURNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22411 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1939
Mailing Address - Country:US
Mailing Address - Phone:708-400-4487
Mailing Address - Fax:
Practice Address - Street 1:22411 BUTTERFIELD RD APT 208
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1938
Practice Address - Country:US
Practice Address - Phone:708-400-4487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician