Tayaunna Boehm-Binion
Behavior Technician in Bloomington, IL. Individual provider (NPI-1).
NPI number1750148722
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1750148722
- Entity type
- Individual (NPI-1)
- Name
- Tayaunna Boehm-Binion
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2024
- Certification date
- Mar 5, 2024
- Last updated
- Mar 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1015 S Mercer AveBloomington, IL 61701-7107
Phone 844-263-1613
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
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