Julia Buchanan, RBT

Individual provider Active NPI Behavior Technician · Worth, IL

NPI 1114708492 · NPPES record last updated Oct 11, 2023

Key facts

NPI
1114708492
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-303385 (IL)
Practice address
11301 S Harlem Ave
Worth, IL 60482-2001
Phone
(708) 586-2604
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-23-303385ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Asd Life Inc. Current
since Feb 2, 2025
Accepting new patients

Locations

11301 S Harlem Ave
Worth, IL 60482
Phone (708) 305-3697

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-303385 IL Yes

Addresses

Primary practice location

11301 S Harlem Ave
Worth, IL 60482-2001

Mailing address

9340 Parkside Ave
Oak Lawn, IL 60453-2339
Phone (773) 849-8690

Other providers in Worth, IL

All providers in Worth, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.