Ellena I Boudouvas

NPI #1013796705 in Glenview, Illinois

Provider Information

NPI Number: 1013796705
Entity Type: Individual
Name: Ellena I Boudouvas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 22, 2023
Last Updated: Sep 22, 2023

Practice Location

Address: 1318 WAUKEGAN RD
City: Glenview
State: Illinois
ZIP Code: 60025-3022
Phone: (847) 486-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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