Easter Seals - Ucp
Behavior Analyst in Peoria, IL. Organization (NPI-2).
NPI number1083983738
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1083983738
- Entity type
- Organization (NPI-2)
- Legal business name
- Easter Seals - Ucp
- Organization subpart
- No
- Enumeration date
- Dec 27, 2011
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
507 E Armstrong AvePeoria, IL 61603-3201
Phone 309-686-1177 · Fax 309-686-7722
Mailing address
507 E Armstrong AvePeoria, IL 61603-3201
Phone 309-686-1177 · Fax 309-686-7722
Other practice locations
202 Saint Joseph Dr
Bloomington, IL 61701-3638
Bloomington, IL 61701-3638
Phone 309-686-1177 · Fax 309-686-7722
Authorized official
Melissa Riddle
President
3096861177
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