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Individual

ALEXANDRA J BIZAILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BT

Contact information

Practice address
722 W COUNTY RD STE F, JERSEYVILLE, IL 62052-2598
(618) 226-5646
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 985-5523
(888) 512-0733

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IL

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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