Individual
JILLIAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S WALNUT ST APT C, SPRINGFIELD, IL 62704-7317
(217) 801-2695
Mailing address
210 S WALNUT ST APT C, SPRINGFIELD, IL 62704-7317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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