Provider Demographics
NPI:1902598030
Name:BOUTCHIA, LINDSAY MARGARET (MA, BCBA)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:MARGARET
Last Name:BOUTCHIA
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14235 E COYOTE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-3788
Mailing Address - Country:US
Mailing Address - Phone:630-589-9491
Mailing Address - Fax:
Practice Address - Street 1:1519 S HIGLEY RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-4793
Practice Address - Country:US
Practice Address - Phone:480-297-0894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst