Alyssa Potacki

NPI #1003685462 in Oak Lawn, Illinois

Provider Information

NPI Number: 1003685462
Entity Type: Individual
Name: Alyssa Potacki
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 27, 2023
Last Updated: Dec 27, 2023

Practice Location

Address: 4954 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2504
Phone: (630) 290-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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