Individual
ELISA DECANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 SARAVANOS DR, YORKVILLE, IL 60560
(815) 267-6354
Mailing address
34 SARAVANOS DR, YORKVILLE, IL 60560
(815) 267-6354
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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