Individual
TARA GLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1420 W GRAND AVE, UNIT 2, CHICAGO, IL 60642-8873
(847) 477-7729
Mailing address
1420 W GRAND AVE, UNIT 2, CHICAGO, IL 60642-8873
(847) 477-7729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4015
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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