Organization
EASTER SEALS - UCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RIDDLE CPA, CGMA (PRESIDENT)
(309) 686-1177
Entity
Organization
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 686-7722
Mailing address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 686-7722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/27/2011
Last updated
03/06/2024
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