Easter Seals - Ucp

Behavior Analyst · Peoria, IL

Organization Active NPI

NPI number 1083983738

Practice location

507 E Armstrong Ave
Peoria, IL 61603-3201
Phone
(309) 686-1177
Fax
(309) 686-7722

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NPI record

NPI
1083983738
Entity type
Organization (Type 2)
Enumeration date
December 27, 2011
Last updated
March 6, 2024
Certified
March 6, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Behavior Technician 106S00000X — —

Authorized official

Name
Melissa Riddle, CPA, CGMA
Title
President
Phone
(309) 686-1177

Other practice locations (1)

  • 202 Saint Joseph Dr, Bloomington, IL 61701-3638 · (309) 686-1177

About Easter Seals - Ucp

Easter Seals - Ucp is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 507 E Armstrong Ave, Peoria, IL 61603-3201. The NPI number 1083983738 was assigned on December 27, 2011 and the record was last updated on March 6, 2024.

The authorized official for this organization is Melissa Riddle, CPA, CGMA, President.

Frequently asked questions

What is the NPI number of Easter Seals - Ucp?

The NPI number is 1083983738.

What is the phone number of Easter Seals - Ucp?

The phone number listed for the practice location is (309) 686-1177.

Where is Easter Seals - Ucp located?

507 E Armstrong Ave, Peoria, IL 61603-3201.

What is the taxonomy code for Easter Seals - Ucp?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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