Bryn Aleah Favakeh

NPI #1164155289 in Evanston, Illinois

Provider Information

NPI Number: 1164155289
Entity Type: Individual
Name: Bryn Aleah Favakeh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 2530 RIDGE AVE
City: Evanston
State: Illinois
ZIP Code: 60201-2492
Phone: (847) 869-0892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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