Individual
ALYANNA MAE MORAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18220 HARWOOD AVE STE 3, HOMEWOOD, IL 60430-2151
(464) 216-4116
Mailing address
22159 E CHURCHILL DR, RICHTON PARK, IL 60471-1152
(708) 979-2993
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63045
—
106S00000X
Behavior Technician
BACB551138
IL
Other
Enumeration date
08/13/2020
Last updated
02/06/2024
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