Individual
ELLYZABETH MALABANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W HOWARD ST, CHICAGO, IL 60645-1228
(773) 305-6400
Mailing address
217 GROVE AVE, FOX RIVER GROVE, IL 60021-1428
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-527184
IL
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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