Individual
SASHA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 W EVERGREEN AVE, UNIT 2, CHICAGO, IL 60622-7820
(847) 977-2485
Mailing address
1819 W EVERGREEN AVE, UNIT 2, CHICAGO, IL 60622-7820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14637
IL
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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