Individual
ILLYANIA ALEXANDRIA ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 W ILES AVE, SPRINGFIELD, IL 62704-4192
(630) 945-4833
Mailing address
2035 W ILES AVE, SPRINGFIELD, IL 62704-4192
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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