Jasmin Raheem
Individual provider Active NPI Behavior Technician · Worth, IL
NPI 1053165993 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1053165993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-341257 (IL)
- Practice address
- 11301 S Harlem Ave
Worth, IL 60482-2001 - Phone
- (708) 586-2604
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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-24-341257 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asd Life Inc. | Current |
Accepting new patients |
Locations
11301 S Harlem Ave
Worth, IL 60482
Phone (708) 305-3697
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-341257 | IL | Yes |
Addresses
Primary practice location
11301 S Harlem Ave
Worth, IL 60482-2001
Mailing address
8614 Wyman Dr
Tinley Park, IL 60487-8403
Phone (708) 856-6282
Other providers in Worth, IL
- Abena Owusu-Ansah
- Bobbie Pearson
- Courtney Allison Pechos
- Lisa M Pertile
- Deborah A Price-Brooks
- Michelle Ramos
- Recovery Medical Equipment Inc
- Patricia Reed
- Marybeth Rosentreter
- Rush University Medical Center
All providers in Worth, 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 Apr 16, 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.