Provider Demographics
NPI:1285362004
Name:DAVISON-ARANCIO, ISABELLA SOPHIA
Entity type:Individual
Prefix:MRS
First Name:ISABELLA
Middle Name:SOPHIA
Last Name:DAVISON-ARANCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-2023
Mailing Address - Country:US
Mailing Address - Phone:630-777-7037
Mailing Address - Fax:
Practice Address - Street 1:1975 MCDOWELL RD
Practice Address - Street 2:101
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:331-218-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician