Karen Bouldin

NPI #1225395528 in Bradley, Illinois

Provider Information

NPI Number: 1225395528
Entity Type: Individual
Name: Karen Bouldin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 12, 2012
Last Updated: Apr 12, 2012

Practice Location

Address: 136-142 1/2 SOUTH CLINTON
City: Bradley
State: Illinois
ZIP Code: 60915
Phone: (708) 939-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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