Individual
CAROLINE PASSALINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 N ELSTON AVE, CHICAGO, IL 60630-2506
(773) 205-8505
Mailing address
1219 SKYLARK DR, WESTON, FL 33327-2380
(540) 922-1110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12153242
IL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/19/2020
Last updated
01/02/2024
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