Individual
LAURA FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
(800) 844-1232
Mailing address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
(800) 844-1232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12043062
IL
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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