Individual
FNU LIPAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 GATEWOOD LN, AURORA, IL 60504-3132
(630) 998-3134
Mailing address
2449 ROXBURY LN, MONTGOMERY, IL 60538-5035
(630) 998-3134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-353053
IL
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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