Individual
FATHIMA ASHRA ANSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 HEALTHWAY DR STE 110, AURORA, IL 60504-8184
(630) 888-1443
Mailing address
4050 HEALTHWAY DR STE 110, AURORA, IL 60504-8184
(630) 888-1443
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-492766
IL
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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