Individual
STEPHANY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
6202 W MONTROSE AVE, CHICAGO, IL 60634-1556
(773) 372-2378
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 726-1416
(224) 241-3132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34076
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/23/2018
Last updated
07/09/2021
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