Individual
MISS ALLYSON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
1206 PINETREE LN, BARTLETT, IL 60103-5829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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