Individual
NICOLE QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. BCBA-D
Contact information
Practice address
1640 W ROOSEVELT RD, 122 DHSP MC 727, CHICAGO, IL 60608-1316
(312) 996-4664
Mailing address
1640 W ROOSEVELT RD, 122 DHSP, MC 727, CHICAGO, IL 60608-1316
(312) 996-4664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-7131
—
103TC0700X
Clinical Psychologist
Primary
071.008126
IL
Other
Enumeration date
07/08/2010
Last updated
05/10/2011
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