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NPI Code Detail

MEDICARE: MICHELLE CHVALOVSKY BCBA

MEDICARE: MICHELLE CHVALOVSKY 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
1103K00000XBehavior Analyst1-15-18878IL

General Provider Information

NPI Number : 1871963868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CHVALOVSKY BCBA
Provider Business Mailing Address
First Line : 452 N EOLA RD
Second Line :
City : AURORA
State : IL
Zip : 60502-9612
Country : US
Telephone Number : 888-308-3728
Fax Number :
Provider Business Practice Location Address
First Line : 452 N EOLA RD STE A
Second Line :
City : AURORA
State : IL
Zip : 60502-9110
Country : US
Telephone Number : 888-308-3728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2015
Last Update Date : 06/10/2019

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Directions to “ MICHELLE CHVALOVSKY BCBA” Practice Location

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