Individual provider · NPI-1

Aquila Anderson

Behavior Technician · Palos Heights, IL

NPI number1073418224
StatusActive
Last updated in NPPESOct 8, 2026

Details

NPI
1073418224
Entity type
Individual (NPI-1)
Name
Aquila Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2026
Certification date
Oct 8, 2026
Last updated
Oct 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–ILYes

Practice location

7808 W College Dr
Palos Heights, IL 60463-1027

Phone 773-791-5903

Mailing address

7808 W College Dr
Palos Heights, IL 60463-1027

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