Emeka Ajaere
Individual provider Active NPI Behavior Technician · Flossmoor, IL
NPI 1063239457 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1063239457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1411 Selkirk St
Flossmoor, IL 60422-4322 - Phone
- (708) 980-9813
- NPI assigned
- Sep 25, 2024
- Sex
- Male
- 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
1411 Selkirk St
Flossmoor, IL 60422-4322
Mailing address
1411 Selkirk St
Flossmoor, IL 60422-4322
Other providers in Flossmoor, IL
- Advanced Caretakers, Inc.
- Thomas J. Africano
- Equalla Agee
- Nahal Aghababa
- Imad Ahmado
- James Akindunbi
- David A Akre
- Sultan Alhijazin
- Ali Ali
- Adetowun O Alimi-Ukoha
All providers in Flossmoor, 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 25, 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.