MEDICARE: ERIC BILLINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1952297871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC BILLINGTON

Provider Business Mailing Address
First Line	:	106 S FARRAR DR STE 107
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4912
Country	:	US
Telephone Number	:	865-406-3180
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 S FARRAR DR STE 107
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4912
Country	:	US
Telephone Number	:	865-406-3180
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC JOSEPH BILLINGTON
Credential	:	PHD
Telephone Number	:	865-406-3180

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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