Individual
EMILY CISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4823 N HOYNE AVE UNIT 1, CHICAGO, IL 60625-1407
(585) 732-6016
Mailing address
4823 N HOYNE AVE UNIT 1, CHICAGO, IL 60625-1407
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-22593
IL
103TS0200X
School Psychologist
Primary
1816097
IL
Other
Enumeration date
09/29/2016
Last updated
04/15/2021
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