Individual
ERIN MARIE CAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3805 N AVALON PL, PEORIA, IL 61614-7022
(309) 219-3006
Mailing address
3805 N AVALON PL, PEORIA, IL 61614-7022
(309) 219-3006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18249
IL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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