Individual
JAWAHAR ALVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
354 WINONA ST, PARK FOREST, IL 60466-1520
(630) 921-2317
Mailing address
354 WINONA ST, PARK FOREST, IL 60466-1520
(630) 921-2317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
IL
Other
Enumeration date
08/12/2013
Last updated
02/04/2023
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