Individual
CASSIDY ANCIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 PARKVIEW BLVD, LOMBARD, IL 60148-3200
(630) 449-3101
Mailing address
4655 KIRCHOFF RD # 39, ROLLING MEADOWS, IL 60008-2070
(847) 323-5536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60792
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/18/2021
Last updated
01/03/2024
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