Individual
DAKODA MARIE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 241-0968
Mailing address
118 HARMONY AVE, EAST PEORIA, IL 61611-1906
(309) 241-0968
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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