Individual
ASHLEY MACHANICKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W GLENN LN, MOUNT PROSPECT, IL 60056-4014
(847) 306-9843
Mailing address
1201 W GLENN LN, MOUNT PROSPECT, IL 60056-4014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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