Individual
ELLEN F. OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 REVERE DR STE 102, NORTHBROOK, IL 60062-1567
(847) 306-9843
Mailing address
5 REVERE DR STE 102, NORTHBROOK, IL 60062-1567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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