Individual
ALEXANDRA SALAIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 SHERWOOD DR STE 201, LAKE BLUFF, IL 60044-2224
(877) 486-4140
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-58269
IL
Other
Enumeration date
06/20/2018
Last updated
09/13/2021
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