Individual
ETHAN CHARLES ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2711 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 937-7527
Mailing address
2711 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 937-7527
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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