Easter Seals - Ucp

NPI #1083983738 in Peoria, Illinois

Provider Information

NPI Number: 1083983738
Entity Type: Organization
Organization Name: Easter Seals - Ucp
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 27, 2011
Last Updated: Mar 6, 2024

Practice Location

Address: 507 E ARMSTRONG AVE
City: Peoria
State: Illinois
ZIP Code: 61603-3201
Phone: (309) 686-1177

Authorized Official

Name: MELISSA RIDDLE, CPA, CGMA
Title: PRESIDENT
Phone: (309) 686-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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