Organization
PRAIRIE LAND THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY WEAVER (OFFICE MANAGER)
(309) 226-3184
Entity
Organization
Contact information
Practice address
70 N CEDAR ST, FARMINGTON, IL 61531-1105
(309) 226-3184
Mailing address
70 N CEDAR ST, FARMINGTON, IL 61531-1105
(309) 226-3184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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