Individual
ASHLEY FEDANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1315 MACOM DR, NAPERVILLE, IL 60564-9358
(630) 995-0369
Mailing address
1112 W BOUGHTON RD # 156, BOLINGBROOK, IL 60440-1508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76101
IL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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