Individual
ISELA BLANCA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9031 KNOX AVE APT EG, SKOKIE, IL 60076-1582
(747) 224-7352
Mailing address
9031 KNOX AVE APT EG, SKOKIE, IL 60076-1582
(747) 224-7352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30908
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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