Individual
CARISSA COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 S WASHINGTON ST, NAPERVILLE, IL 60565-1368
(815) 469-1500
(779) 216-3069
Mailing address
2011 S WASHINGTON ST, NAPERVILLE, IL 60565-1368
(815) 469-1500
(779) 216-3069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39492
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/23/2018
Last updated
10/06/2021
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