Individual
AQSA BAWANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 FAIRFIELD DR, ROMEOVILLE, IL 60446-4080
(630) 362-4904
Mailing address
118 FAIRFIELD DR, ROMEOVILLE, IL 60446-4080
(630) 362-4904
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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