Individual
MADELINE BOLTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 FINLEY RD STE 102, DOWNERS GROVE, IL 60515-1774
(630) 495-6800
Mailing address
2820 PONTIAC DR APT 2911, AURORA, IL 60502-8816
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32894
IL
106S00000X
Behavior Technician
B43554192901
IL
Other
Enumeration date
02/09/2017
Last updated
03/18/2020
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