Individual
STEPHANE ANN PURYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
910 ROOSEVELT RD, GLEN ELLYN, IL 60137-7829
(630) 580-0853
Mailing address
910 ROOSEVELT RD, GLEN ELLYN, IL 60137-7829
(630) 580-0853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
106S00000X
Behavior Technician
RBT-19-90827
TX
Other
Enumeration date
07/26/2019
Last updated
09/05/2024
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