Individual
ELISSA MARIE ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WALNUT ST STE B, ST CHARLES, IL 60174-2766
(630) 203-7370
Mailing address
24 S SYCAMORE LN, NORTH AURORA, IL 60542-1571
(630) 605-8211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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