Individual
ALEXIS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 BIRCH ST, CARPENTERSVILLE, IL 60110-1670
(847) 344-6187
Mailing address
146 BIRCH ST, CARPENTERSVILLE, IL 60110-1670
(847) 344-6187
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1588395362
IL
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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