Organization
TRANSFORMATION ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE WALKER PH.D. (DIRECTOR)
(217) 306-5834
Entity
Organization
Contact information
Practice address
1154 N BRADFORDTON RD, SPRINGFIELD, IL 62711-6040
(217) 306-5834
Mailing address
1154 N BRADFORDTON RD, SPRINGFIELD, IL 62711-6040
(217) 306-5834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104633305859002
—
IL
Enumeration date
07/25/2024
Last updated
06/20/2025
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