Individual
ALICIA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA
Contact information
Practice address
333 W ARMITAGE AVE FL 2, CHICAGO, IL 60614-4710
(773) 573-6121
Mailing address
333 W ARMITAGE AVE FL 2, CHICAGO, IL 60614-4710
(773) 573-6121
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37042
IL
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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