Peter Charles Smalls

NPI #1912875451 in Rockford, Illinois

Provider Information

NPI Number: 1912875451
Entity Type: Individual
Name: Peter Charles Smalls
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 27, 2025
Last Updated: Oct 27, 2025

Practice Location

Address: 910 2ND AVE
City: Rockford
State: Illinois
ZIP Code: 61104-2162
Phone: (844) 473-6378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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