Elaine Naomi Larson
Behavior Technician in Evanston, IL. Individual provider (NPI-1).
NPI number1245926591
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1245926591
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elaine Naomi Larson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | IL | Yes |
Practice location
2530 Ridge AveEvanston, IL 60201-2492
Phone 847-570-5020
Mailing address
2530 Ridge AveEvanston, IL 60201-2492
Phone 847-570-5020
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All 61 Behavior Technician providers in Evanston · All 4,899 providers in Evanston
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