Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-41140 | IL |
NPI | 1003441445 |
---|---|
Provider Name | Hannah Burton |
First Address | St Charles, IL 60174-2488 |
Second Address | Hoffman Estates, IL 60169-7220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2020 |
Last Update Date | 03/08/2020 |