NPI 1124408323

Roma Mirutenko

Practitioner Behavior Analyst Evanston, IL

Practice location

Address: 820 Davis St Suite 455, Evanston, IL 60201-4431
Phone: (708) 288-7547

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1124408323
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2015
Record last updated: 2 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.