Individual
KAISHA P. ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 W WAGGONER ST, DECATUR, IL 62526-4023
(217) 530-5704
Mailing address
551 W WAGGONER ST, DECATUR, IL 62526-4023
(217) 530-5704
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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