JUSTINE RAE BOUDREAU BCBA
NPI 1508406380
Behavior Analyst in Chicago, IL

Active since January 09, 2020
1765 N ELSTON AVE, SUITE 206, CHICAGO, IL 60642(248) 762-5293 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justine Rae Boudreau Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE RAE BOUDREAU BCBA (NPI 1508406380) is an individual behavior analyst provider in Chicago, Illinois, licensed in Illinois (1-19-38906) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1508406380
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJUSTINE RAE BOUDREAUCredential: BCBA
Location Address1765 N ELSTON AVE, SUITE 206Chicago, IL 60642-1501
Mailing Address1765 N Elston Ave, Suite 206Chicago, IL 60642-1501 · (248) 762-5293
Sole ProprietorYes
Enumeration DateJanuary 9, 2020
NPI 1508406380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in IL · 1-19-38906
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1765 N ELSTON AVE, Chicago, IL 60642

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
1765 N ELSTON AVE
CHICAGO, IL 60642
Speech-Language Pathologist
1765 N ELSTON AVE
CHICAGO, IL 60642
Speech-Language Pathologist
1765 N ELSTON AVE
CHICAGO, IL 60642
Dermatology (MOHS-Micrographic Surgery)
1765 N ELSTON AVE, SUITE 110
CHICAGO, IL 60642
Occupational Therapist
1765 N ELSTON AVE
CHICAGO, IL 60642
Dermatology (Clinical & Laboratory Dermatological Immunology)
1765 N ELSTON AVE, SUITE 1600
CHICAGO, IL 60642
Behavior Analyst
1765 N ELSTON AVE
CHICAGO, IL 60642
Speech-Language Pathologist
1765 N ELSTON AVE
CHICAGO, IL 60642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Boudreau's NPI number?

The NPI number for Justine Boudreau is 1508406380. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Justine Boudreau located?

Justine Boudreau practices at 1765 N Elston Ave Suite 206, Chicago, IL 60642. The listed phone number is (248) 762-5293.

What is Justine Boudreau's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Justine Boudreau was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.