Individual
VIVIAN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E ROOSEVELT RD, VILLA PARK, IL 60181-3500
(630) 602-3624
(224) 875-3034
Mailing address
220 E ROOSEVELT RD, VILLA PARK, IL 60181-3500
(630) 601-8625
(224) 875-3034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-225836
IL
Other
Enumeration date
10/29/2019
Last updated
07/14/2026
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