Individual
ISABELLA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 MILLER DR STE 102, NORTH AURORA, IL 60542-5144
(630) 907-9165
Mailing address
66 MILLER DR STE 102, NORTH AURORA, IL 60542-5144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-349349
IL
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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