Individual
MRS. KIMBERLY ANN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2203 E EMPIRE ST, SUITE G, BLOOMINGTON, IL 61704-3706
(309) 662-5050
(630) 303-9704
Mailing address
2203 E EMPIRE ST, SUITE G, BLOOMINGTON, IL 61704-3706
(309) 662-5050
(630) 303-9704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-07-3716
BACB CERTIFICANT
IL
Enumeration date
03/21/2008
Last updated
08/11/2016
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