Individual
ALEXANDRA LEOMBRUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 EVERETT LN, BYRON, IL 61010-9208
(815) 766-0520
Mailing address
3061 EVERETT LN, BYRON, IL 61010-9208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SFI803222995
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/24/2019
Last updated
05/24/2019
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