Most Relevant Information
Provider Data
| NPI Number: | 1003659376 |
| Provider Name: | FNU LIPAKSHI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-353053 |
Most Important Dates
| Enumeration Date: | 06/14/2024 |
| Last Updated: | 06/14/2024 |
Provider Practice Location
3530 GATEWOOD LN
AURORA
IL
605043132
Practice Location Phone/Fax
| Phone: | 6309983134 |
| Fax: |
Provider Mailing Location
2449 ROXBURY LN
MONTGOMERY
IL
605385035
Provider Mailing Phone/Fax
| Phone: | 6309983134 |
| Fax: |