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Individual

MISS MARY ROSE CHRISTINA WINTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
1800 HUNTINGTON BLVD APT 612, HOFFMAN ESTATES, IL 60169-6743
(301) 742-6054
Mailing address
1800 HUNTINGTON BLVD APT 612, HOFFMAN ESTATES, IL 60169-6743
(301) 742-6054

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52474

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-21-52474
BEHAVIOR ANALYST CERTIFICATION BOARD
Enumeration date
09/26/2017
Last updated
09/08/2021
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