Individual
SAMANTHA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
865 E WILMETTE RD, SUITE G, PALATINE, IL 60074-6493
(224) 210-0669
Mailing address
865 E WILMETTE RD, SUITE G, PALATINE, IL 60074-6493
(224) 210-0669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11314287
IL
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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