Individual
ERIN ELISE BILY-LUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 W MCMACKIN ST, SALEM, IL 62881-1724
(618) 548-0309
Mailing address
PO BOX 745, SALEM, IL 62881-0745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6183050147
AGENCY ISSUE
IL
Enumeration date
04/10/2020
Last updated
04/10/2020
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