Individual
DANIEL ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1606 HUNT DR, NORMAL, IL 61761-2192
(309) 451-8888
(309) 451-8989
Mailing address
1307 HERITAGE RD E, NORMAL, IL 61761-1301
(309) 532-2893
(309) 451-8989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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