Individual
INGRID LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 MCDOWELL RD #101, NAPERVILLE, IL 60563
(331) 229-8839
Mailing address
1975 MCDOWELL RD #101, NAPERVILLE, IL 60563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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