Individual
BETHANY SABOURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4323 DOUGLAS RD APT 3B, DOWNERS GROVE, IL 60515-3001
(248) 953-8144
Mailing address
4323 DOUGLAS RD APT 3B, DOWNERS GROVE, IL 60515-3001
(248) 953-8144
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15256
IL
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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