Mariah Avalos

NPI #1306622667 in Deerfield, Illinois

Provider Information

NPI Number: 1306622667
Entity Type: Individual
Name: Mariah Avalos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 4, 2023
Last Updated: Sep 4, 2023

Practice Location

Address: 707 LAKE COOK RD
City: Deerfield
State: Illinois
ZIP Code: 60015-5613
Phone: (877) 942-0835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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