Paul John Santos Avila
NPI #1649828484 in Northbrook, Illinois
Provider Information
- NPI Number
- 1649828484
- Entity Type
- Individual
- Name
- Paul John Santos Avila
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 26, 2019
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 5 REVERE DR STE 120
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-8005
- Phone
- (847) 306-9843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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