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1417411703
LAVISHA NITA FERNANDES
AURORA, IL
NPI
1417411703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-18-34066)
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
Mrs. LAVISHA NITA FERNANDES BCBA
3209 GRAFTON LN
AURORA, IL 60502-7009
Phone number: 630-687-8963
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Mailing Address
Mrs. LAVISHA NITA FERNANDES BCBA
3209 GRAFTON LN
AURORA, IL 60502-7009
Phone number: 630-687-8963
Copy
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