Individual
EMILY HARDIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 531-4638
Mailing address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 531-4638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-310364
IL
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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