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Individual

ALEXANDRIA NOEL MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1711 DEKALB AVE STE C1, SYCAMORE, IL 60178-2709
(815) 223-2237
Mailing address
1105 GRACE DR APT D, SYCAMORE, IL 60178-9542
(815) 988-8029

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-249750
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22-249750
BEHAVIOR ANALYST CERTIFICATION BOARD
IL
Enumeration date
10/16/2023
Last updated
10/16/2023
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