Britteny Poe
Individual provider Active NPI Behavior Technician · Broadview, IL
NPI 1174378772 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1174378772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2112 S 24TH Ave
Broadview, IL 60155-2824 - Phone
- (708) 269-0246
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- 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
2112 S 24TH Ave
Broadview, IL 60155-2824
Mailing address
2112 S 24TH Ave
Broadview, IL 60155-2824
Phone (708) 269-0246
Other providers in Broadview, IL
- Patricia M Moser OD PC
- Genoveva Perez
- Kenita J. Perry-Bell
- David Phan
- Thomas Alan Plach
- Avery Polizzi
- Prakash K. Upadhyaya DDS LTD.
- Presence Behavioral Health
- Presence Behavioral Health
- Sarah Jean Prokop
All providers in Broadview, 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 18, 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.