Individual provider Active NPI

Mirella Aldaba, MA, RBT

  • Behavior Technician
  • Elgin, IL
National Provider Identifier
1144095928
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-45-47485 Issued in IL
Practice address
945 Seminole Dr Apt 4
Elgin, IL 60120-2562
Phone
(224) 465-0957
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-45-47485 IL Primary

Addresses

Primary practice location

945 Seminole Dr Apt 4
Elgin, IL 60120-2562

Mailing address

945 Seminole Dr Apt 4
Elgin, IL 60120-2562
Phone (224) 465-0957

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RBT-45-47485ILMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1144095928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SEMINOLE DR APT 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202562",
            "telephone_number": "224-465-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SEMINOLE DR APT 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202562",
            "telephone_number": "224-465-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDABA",
        "first_name": "MIRELLA",
        "name_prefix": "Ms.",
        "credential": "MA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-45-47485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.