Organization
THE BRIGHTSIDE OF BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANEA L RICKETTS M.A., BCBA, LBA (OWNER)
(618) 704-1677
Entity
Organization
Contact information
Practice address
1616 VETERANS AVE, VANDALIA, IL 62471-3317
(618) 704-1677
(618) 551-4525
Mailing address
1616 VETERANS AVE, VANDALIA, IL 62471-3317
(618) 704-1677
(618) 551-4525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/16/2022
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