Individual
ANDRIANA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
2100 S MORGAN ST SUITE C101, CHICAGO, IL 60608
(224) 404-2994
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58257
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-58257
BOARD CERTIFIED BEHAVIOR ANALYST
—
Enumeration date
05/20/2022
Last updated
03/08/2023
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