Individual
ERICK YEOSHUA ALONSO GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4433 W TOUHY AVE STE 335, LINCOLNWOOD, IL 60712-1820
(877) 486-4140
Mailing address
6325 N SHERIDAN RD APT 1905, CHICAGO, IL 60660-5721
(909) 845-9524
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
06/06/2022
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