Individual provider · Type 1 NPI

Nia Beverly

Developmental Therapist · East Peoria, IL

NPI number 1124766654 Active

Practice location

110 Carver Ln
East Peoria, IL 61611-3052

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1124766654

Nia Beverly's National Provider Identifier is 1124766654, issued on May 24, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in East Peoria, IL. The record was last updated on May 24, 2022.