SANDY SANAVONGXAY

CRYSTAL LAKE, IL
NPI1043791791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  S51578095629)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
SANDY SANAVONGXAY
780 MCARDLE DR STE A
CRYSTAL LAKE, IL 60014-8155
Phone number: 779-220-6262
Mailing Address
SANDY SANAVONGXAY
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345