Individual
ALISA SPONSELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
521 COBB ST STE A, CADILLAC, MI 49601-2599
(231) 775-9942
Mailing address
650 W GRAND AVE STE 207, ELMHURST, IL 60126-1025
(844) 263-1613
(844) 263-1612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
08/14/2025
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