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Individual

SKYLAR ALEXANDERA LUCICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
565 LAKEVIEW PKWY STE 150, VERNON HILLS, IL 60061-1839
(877) 486-4140
Mailing address
806 EDGAR ALLEN POE LN, MUNDELEIN, IL 60060-3667
(224) 645-3169

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83322
IL
106S00000X
Behavior Technician
RBT-23-286949
IL

Other

Enumeration date
04/24/2024
Last updated
08/06/2025
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