Alfonso Blanco

NPI #1043914229 in Chicago, Illinois

Provider Information

NPI Number: 1043914229
Entity Type: Individual
Name: Alfonso Blanco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 30, 2023
Last Updated: Mar 30, 2023

Practice Location

Address: 5420 N HARLEM AVE
City: Chicago
State: Illinois
ZIP Code: 60656-1800
Phone: (708) 667-0790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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