Tonia Dolan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44897 Issued in IL

Practice address

600 E Arcadia Ave
Peoria, IL 61603-2506

Phone

(309) 868-7709

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1881165934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E ARCADIA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616032506",
            "telephone_number": "309-868-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E ARCADIA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616032506",
            "telephone_number": "309-868-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Broadway St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637017331",
            "country_code": "US",
            "telephone_number": "573-225-6678",
            "fax_number": "314-225-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "TONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-20-44897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Doerr
• Paige Doherty
• Dolan Central Illinois Compounding LLC (Preckshot Professional Pharmacy)
• Dolan Central Illinois Compounding Pharmacy LLC
• Shannon Dolan
• Pamela Doloszycki, APN
• Cassidy Louise Domagalla
• Matthew David Domico, MSW, LCSW
• Sarah E Dominique, APN CDE
• Jerome Taymon Domzalski, MD

• Behavior Analyst in Peoria, IL
• Providers in Peoria, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.