Individual
MARIA AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, QIDP
Contact information
Practice address
11043 S AVENUE G, CHICAGO, IL 60617-6747
(708) 222-4879
Mailing address
11043 S AVENUE G, CHICAGO, IL 60617-6747
(219) 775-7858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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