Individual
ELISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2323 NAPERVILLE RD STE 265, NAPERVILLE, IL 60563-3486
(331) 457-5533
(331) 457-5532
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3717
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37945
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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