Individual
BETH VAN HOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3113 W BELTLINE HWY STE 300, MADISON, WI 53713-2934
(608) 819-6810
(608) 819-6811
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(847) 498-5438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
262-140
WI
106E00000X
Assistant Behavior Analyst
0-16-7017
WI
Other
Enumeration date
06/28/2018
Last updated
08/13/2024
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