MEDICARE: ALLYSONN MONEGHINI BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	152001268	IL

General Provider Information

NPI Number	:	1689440232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSONN MONEGHINI BCBA

Provider Business Mailing Address
First Line	:	5 S OAKHURST DR
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-6701
Country	:	US
Telephone Number	:	630-779-0944
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 WINDING RIVER DR STE 104
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8555
Country	:	US
Telephone Number	:	630-581-2846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	12/28/2025

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