Organization
FIRST ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANIYAH DOWDELL (BEHAVIORAL TECHNICIAN)
(217) 836-5775
Entity
Organization
Contact information
Practice address
1209 OAKDALE ST, SPRINGFIELD, IL 62703-2045
(217) 836-5775
Mailing address
1209 OAKDALE ST, SPRINGFIELD, IL 62703-2045
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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