SearchIllinois103K00000X

Daniel Childress, BCBA

NPI 1659918977 · on the registry since 2019

Practice

Address
145 Springfield Ct
O Fallon, IL 62269
Phone
(217) 525-8332
Clinicians at this address
85

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois