Individual
LAURA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11050 80TH PL, LA GRANGE, IL 60525-5203
(630) 973-7847
Mailing address
11050 80TH PL, LA GRANGE, IL 60525-5203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
03/27/2024
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