NPI 1033825567 · live from the CMS NPI Registry
Alessandra Altom
Behavior Analyst in Bolingbrook, IL. National Provider Identifier 1033825567, active.
NPI record
| NPI | 1033825567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 484 W Boughton Rd Ste C, Bolingbrook, IL 60440 |
| Practice phone | 312-858-8562 |
| Mailing address | 1102 Chippewa St, Normal, IL 61761 |
| Enumerated | January 27, 2023 |
| Last updated | January 27, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-22-63261 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.