Provider Demographics
NPI:1164062493
Name:BARTER, ANNEMARIE CATHERINE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ANNEMARIE
Middle Name:CATHERINE
Last Name:BARTER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ANNEMARIE
Other - Middle Name:CATHERINE
Other - Last Name:LADING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:401 S. MILWAUKEE AVE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090
Mailing Address - Country:US
Mailing Address - Phone:847-465-9556
Mailing Address - Fax:847-465-9621
Practice Address - Street 1:401 S. MILWAUKEE AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090
Practice Address - Country:US
Practice Address - Phone:847-465-9556
Practice Address - Fax:847-465-9621
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst