Individual
ALISA CIPRIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
140 E LOOP RD, WHEATON, IL 60189-8407
(312) 243-8487
Mailing address
140 E LOOP RD, WHEATON, IL 60189-8407
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66438
IL
106S00000X
Behavior Technician
RBT-19-80339
IL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-66438
BEHAVIOR ANALYST CERTIFICATION BOARD
IL
01
—
RBT-19-80339
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
03/06/2019
Last updated
09/21/2023
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