Individual
ALISSA ANN GAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2323 NAPERVILLE RD, SUITE 265, NAPERVILLE, IL 60563-3444
(331) 457-5533
Mailing address
345 E OHIO ST, APT 1401, CHICAGO, IL 60611-3375
(517) 262-4261
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-9896
IL
Other
Enumeration date
06/15/2012
Last updated
08/09/2013
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