Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roma Mirutenko

Individual provider Behavior Analyst · NPI 1124408323

Roma Mirutenko is a Behavior Analyst in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

820 Davis St Ste 455
Evanston, IL 60201-4431
Phone: (708) 288-7547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (IL)

Record details

NPI number1124408323
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2015
Last updated in NPPESJune 2, 2015
Mailing address820 Davis St, Suite 455, Evanston, IL 60201-4431

Other providers in Evanston