Individual
ANTHONY MIRABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9N875 HOGAN HL, ELGIN, IL 60124-8474
(847) 431-1769
Mailing address
9N875 HOGAN HL, ELGIN, IL 60124-8474
(847) 431-1769
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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