KAISHA P. ALCORN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1093636110- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 551 W WAGGONER ST, DECATUR, IL, 625264023
- Phone
- (217) 530-5704
Specialties & Taxonomies
Behavior Technician
Primary