Easter Seals - Ucp | |
507 E Armstrong Ave Peoria IL 61603-3201 | |
(309) 686-1177 | |
(309) 686-7722 |
Full Name | Easter Seals - Ucp |
---|---|
Speciality | Behavior Analyst |
Location | 507 E Armstrong Ave, Peoria, Illinois |
Authorized Official Name and Position | Melissa Riddle (PRESIDENT) |
Authorized Official Contact | 3096861177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Easter Seals - Ucp 507 E Armstrong Ave Peoria IL 61603-3201 Ph: (309) 686-1177 | Easter Seals - Ucp 507 E Armstrong Ave Peoria IL 61603-3201 Ph: (309) 686-1177 |
NPI Number | 1083983738 |
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Provider Enumeration Date | 12/27/2011 |
Last Update Date | 03/06/2024 |
Certification Date | 03/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083983738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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