Individual
KIAH NICOLE BOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
9238 S COLFAX AVE, CHICAGO, IL 60617-4029
(773) 349-2858
(312) 277-8641
Mailing address
9238 S COLFAX AVE, CHICAGO, IL 60617-4029
(773) 349-2858
(312) 277-8641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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