Kimberly Bannister

NPI #1780458828 in Champaign, Illinois

Provider Information

NPI Number: 1780458828
Entity Type: Individual
Name: Kimberly Bannister
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 517 W TOWN CENTER BLVD
City: Champaign
State: Illinois
ZIP Code: 61822-1248
Phone: (844) 263-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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