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Ashlyn Vance

Behavior Technician in Northbrook, IL. Individual provider (NPI-1).

NPI number1164045332
StatusActive
Last updated in NPPESMay 22, 2020

Details

NPI
1164045332
Entity type
Individual (NPI-1)
Name
Ashlyn Vance
Sex
Female
Sole proprietor
Yes
Enumeration date
May 22, 2020
Certification date
May 22, 2020
Last updated
May 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5 Revere Dr Ste 120
Northbrook, IL 60062-8005

Phone 847-306-9843

Mailing address

5 Revere Dr Ste 120
Northbrook, IL 60062-8005

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