Alessandra Altom
Individual provider Active NPI Behavior Analyst · Bolingbrook, IL
NPI 1033825567 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1033825567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-63261 (IL)
- Practice address
- 484 W Boughton Rd Ste C
Bolingbrook, IL 60440-2478 - Phone
- (312) 858-8562
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-22-63261 | IL | Yes |
Addresses
Primary practice location
484 W Boughton Rd Ste C
Bolingbrook, IL 60440-2478
Mailing address
1102 Chippewa St
Normal, IL 61761-5760
Phone (224) 587-0552
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All providers in Bolingbrook, IL · Behavior Analyst in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.