Individual
TAYLOR PINKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 SAINT JOSEPH DR, BLOOMINGTON, IL 61701-3638
(309) 386-1177
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
1-22-60334
—
106S00000X
Behavior Technician
RBT-19-105973
IL
Other
Enumeration date
05/21/2019
Last updated
03/18/2026
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