Individual
ALYSSA MORALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 261-5810
Mailing address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-238509
IL
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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