Individual
TRICIA M BIANCHI-THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 SAINT JULIAN ST, PEKIN, IL 61554-2948
(309) 267-3771
Mailing address
1315 SAINT JULIAN ST, PEKIN, IL 61554-2948
(309) 267-3771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/17/2011
Last updated
03/15/2012
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