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Individual

MR. JOSEPH JOHN PINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
4060 MCFARLAND RD, LOVES PARK, IL 61111-4402
(815) 639-2956
(815) 633-8057
Mailing address
4060 MCFARLAND RD, LOVES PARK, IL 61111-4402
(815) 639-2956
(815) 633-8057

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6768
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362769801
IL
Enumeration date
08/16/2010
Last updated
08/16/2010
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