Alexis Kissane, RBT-18-47109

NPI #1780176016 in Geneva, Illinois

Provider Information

NPI Number: 1780176016
Entity Type: Individual
Name: Alexis Kissane, RBT-18-47109
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-18-47109
Enumeration Date: Jun 1, 2018
Last Updated: Jun 1, 2018

Practice Location

Address: 1527 KIRKWOOD DR
City: Geneva
State: Illinois
ZIP Code: 60134-1659
Phone: (847) 337-4981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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