MS. Elaine Naomi Larson

NPI #1245926591 in Evanston, Illinois

Provider Information

NPI Number: 1245926591
Entity Type: Individual
Name: MS. Elaine Naomi Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 11, 2023
Last Updated: Apr 11, 2023

Practice Location

Address: 2530 RIDGE AVE
City: Evanston
State: Illinois
ZIP Code: 60201-2492
Phone: (847) 570-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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