Arely Betancourt
Individual provider Active NPI Behavior Technician · Normal, IL
NPI 1043028756 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1043028756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-387033 (IL)
- Practice address
- 1302 Franklin Ave
Normal, IL 61761-3551 - Phone
- (309) 452-0069
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-387033 | IL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-387033 | IL | Yes |
Addresses
Primary practice location
1302 Franklin Ave
Normal, IL 61761-3551
Mailing address
1302 Franklin Ave
Normal, IL 61761-3551
Phone (309) 452-0069
Other providers in Normal, IL
- Allison Berndt
- Kathy Jo Berry
- Deborah R Berryman
- Jay M Bersche
- Debbie Bessent
- Sheri Bettis
- Rebecca Beucher
- Gagan Deep Deep Bhatia
- Sumit Bhatia
- Madeline Biehl
All providers in Normal, IL · Behavior Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.