Most Relevant Information
Provider Data
| NPI Number: | 1003442104 |
| Provider Name: | ALYSSA CLAIRE GEORGE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2020 |
| Last Updated: | 03/20/2020 |
Provider Practice Location
5 REVERE DR STE 120
NORTHBROOK
IL
600628005
Practice Location Phone/Fax
| Phone: | 8473069843 |
| Fax: |
Provider Mailing Location
5 REVERE DR STE 120
NORTHBROOK
IL
600628005
Provider Mailing Phone/Fax
| Phone: | 8473069843 |
| Fax: |