Individual
ALEXANDRA IRENE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 LAKE COOK RD STE 312, DEERFIELD, IL 60015-4933
(877) 486-4140
Mailing address
2009 KELLOGG AVE, WAUKEGAN, IL 60087-4704
(224) 944-8051
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-212373
IL
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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