Individual
BRIAN CHRISTOPHER BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(844) 263-1613
Mailing address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(844) 263-1613
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/29/2022
Last updated
01/23/2025
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