Individual
ALEXIS SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6317 N BROADWAY, CHICAGO, IL 60660
(847) 306-9843
Mailing address
6317 N BROADWAY, CHICAGO, IL 60660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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