Individual
ARIANA BOUTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-D
Contact information
Practice address
3100 DUNDEE RD, SUITE 704, NORTHBROOK, IL 60062-2437
(224) 326-2206
(224) 220-5160
Mailing address
1324 LACI CT, INDIAN CREEK, IL 60061-3279
(224) 326-2209
(847) 498-5438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB232985
IL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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