Individual
ANNA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 N RIVER LANE, SUITE 2109, GENEVA, IL 60134-2003
(331) 222-7724
(844) 447-0582
Mailing address
25 N RIVER LN STE 2109, GENEVA, IL 60134-2003
(773) 848-8697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
03/06/2024
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