Provider Demographics
NPI:1932301496
Name:SPEC ED ASSOC OF PEORIA COUNTY
Entity Type:Organization
Organization Name:SPEC ED ASSOC OF PEORIA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF SCHOOL BUSINESS OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEVERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:309-256-3245
Mailing Address - Street 1:4812 PFEIFFER RD
Mailing Address - Street 2:
Mailing Address - City:BARTONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61607-2647
Mailing Address - Country:US
Mailing Address - Phone:309-697-0880
Mailing Address - Fax:
Practice Address - Street 1:4812 PFEIFFER RD
Practice Address - Street 2:
Practice Address - City:BARTONVILLE
Practice Address - State:IL
Practice Address - Zip Code:61607-2647
Practice Address - Country:US
Practice Address - Phone:309-697-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)