Individual
MICHELLE MARY GIZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
452 N EOLA RD STE A, AURORA, IL 60502-9110
(630) 999-0401
Mailing address
452 N EOLA RD STE A, AURORA, IL 60502-9110
(630) 999-0401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27114
IL
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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