Individual
ALICIA CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4648 N SAINT LOUIS AVE APT 1B, CHICAGO, IL 60625-5358
(708) 297-1261
Mailing address
4648 N SAINT LOUIS AVE APT 1B, CHICAGO, IL 60625-5358
(708) 297-1261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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