Individual
ALEXIS CAITLYN EIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
13550 S ROUTE 30 STE 204, PLAINFIELD, IL 60544-5687
(815) 308-2322
Mailing address
13550 S ROUTE 30 STE 204, PLAINFIELD, IL 60544-5687
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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