Individual
ALYSSA I MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-63580
Contact information
Practice address
5 REVERE DR STE 1205, NORTHBROOK, IL 60062-1566
(847) 306-9843
Mailing address
5 REVERE DR STE 1205, NORTHBROOK, IL 60062-1566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-63580
IL
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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