Marilia Coutinho Espinola
Individual provider Active NPI Behavior Technician · Lake Bluff, IL
NPI 1043097157 · NPPES record last updated Sep 12, 2023
Key facts
- NPI
- 1043097157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235 - Phone
- (877) 486-4140
- NPI assigned
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Mailing address
805 Baldwin Ave
Waukegan, IL 60085-2371
Phone (224) 588-0236
Other providers in Lake Bluff, IL
- Joseph Reed Cook
- Patricia Cordoba
- Corri Ferdman LCSW LLC
- Susan Cortes
- William David Couch
- Cowboy Anesthesia Services PLLC
- Jennifer Dahl Crane
- Michelle Cruz
- Julie Marie Cummings
- Dragana Cupic
All providers in Lake Bluff, 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 Sep 12, 2023. 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.