Amaris Evans, RBT

Individual provider Active NPI Behavior Technician · Ofallon, IL

NPI 1164013264 · NPPES record last updated Feb 1, 2021

Key facts

NPI
1164013264
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
Acorn Health of Illinois, LLC 6 Eagle Center Dr
Ste: 1
Ofallon, IL 62269
Phone
(618) 206-8816
NPI assigned
Feb 1, 2021
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

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Health of Illinois, LLC Current
since Feb 7, 2021
Accepting new patients

Locations

6 Eagle Ctr
Ste 1
O Fallon, IL 62269
Phone (618) 206-8816

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

Acorn Health of Illinois, LLC 6 Eagle Center Dr
Ste: 1
Ofallon, IL 62269

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116

Other names

  • Amaris Bordes Former name

Other providers in Ofallon, IL

All providers in Ofallon, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.