Individual
KILEY KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(844) 263-1613
Mailing address
4921 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(844) 263-1613
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
CB60936938
WA
Other
Enumeration date
11/25/2019
Last updated
03/05/2025
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