Individual
ALYSSA M MADONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3815 E MAIN ST STE B, SAINT CHARLES, IL 60174-2488
(630) 584-7530
(630) 584-7762
Mailing address
3815 E MAIN ST STE B, SAINT CHARLES, IL 60174-2488
(630) 584-7530
(630) 584-7762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33106
IL
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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