Individual
ALYSSA KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 S EDISON AVE, ELGIN, IL 60123-6124
(630) 337-9403
Mailing address
7 S EDISON AVE, ELGIN, IL 60123-6124
(630) 337-9403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-323360
IL
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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