Individual
LISETTE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189-5855
(630) 793-8404
Mailing address
1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189-5855
(630) 793-8404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49482
IL
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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