Individual
ALEXIS MARIE AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
666 DUNDEE RD STE 1605, NORTHBROOK, IL 60062-2738
(847) 495-2640
Mailing address
666 DUNDEE RD STE 1605, NORTHBROOK, IL 60062-2738
(847) 495-2640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55447
IL
Other
Enumeration date
11/14/2021
Last updated
10/04/2024
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