Individual
ALEXIS ELLEN EARLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
424 PINE MANOR DR, WILMETTE, IL 60091-2364
(815) 530-1924
Mailing address
523 N RACINE AVE APT 1, CHICAGO, IL 60642-7935
(815) 530-1924
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68996
IL
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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