| Prairie Land Therapeutics | |
|
70 N Cedar St Farmington IL 61531-1105 | |
| (309) 226-3184 | |
| Not Available |
| Full Name | Prairie Land Therapeutics |
|---|---|
| Speciality | Behavior Analyst |
| Location | 70 N Cedar St, Farmington, Illinois |
| Authorized Official Name and Position | Courtney Weaver (OFFICE MANAGER) |
| Authorized Official Contact | 3092263184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Land Therapeutics 70 N Cedar St Farmington IL 61531-1105 Ph: (309) 226-3184 | Prairie Land Therapeutics 70 N Cedar St Farmington IL 61531-1105 Ph: (309) 226-3184 |
| NPI Number | 1679226500 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679226500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |