Individual
ALEXIS KISSANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-47109
Contact information
Practice address
1527 KIRKWOOD DR, GENEVA, IL 60134-1659
(847) 337-4981
Mailing address
1527 KIRKWOOD DR, GENEVA, IL 60134-1659
(847) 337-4981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-47109
IL
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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