Individual
MELISSA LIAUTAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3100 DUNDEE RD, SUITE 704, NORTHBROOK, IL 60062-2437
(847) 498-5437
(847) 598-5438
Mailing address
3100 DUNDEE RD, SUITE 704, NORTHBROOK, IL 60062-2437
(847) 498-5437
(847) 598-5438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15820
IL
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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