Individual
MYRA J BERTLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANALYST
Contact information
Practice address
1112 W BOUGHTON RD # 156, BOLINGBROOK, IL 60440-1508
(630) 217-1292
(630) 759-4228
Mailing address
1112 W BOUGHTON RD # 156, BOLINGBROOK, IL 60440-1508
(630) 217-1292
(630) 759-4228
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23471
IL
Other
Enumeration date
03/02/2007
Last updated
06/27/2024
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