IndividualActive
Anthony Pisano
NPI 1912748419 · Behavior Technician · Normal, IL
Provider details
- NPI number
- 1912748419
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RBT-24-352506 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1302 Franklin Ave
Normal, IL 61761-3551
Phone: (309) 531-4638
Approximate (ZIP-level) locationGet directions
Mailing address
1302 Franklin Ave
Normal, IL 61761-3551
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.