Alexandra Boltz

NPI #1598303836 in Zion, Illinois

Provider Information

NPI Number: 1598303836
Entity Type: Individual
Name: Alexandra Boltz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2019
Last Updated: Dec 18, 2019

Practice Location

Address: 1603 LORELEI DR APT 205
City: Zion
State: Illinois
ZIP Code: 60099-8874
Phone: (224) 545-7956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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