Bethany Bachmann, RBT
Individual provider Active NPI Behavior Technician · Channahon, IL
NPI 1194201863 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1194201863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 18-60255 (IL)
- Practice address
- 26421 W Stonebriar Way
Channahon, IL 60410-8740 - Phone
- (815) 685-2831
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-60255 | IL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-60255 | IL | Yes |
Addresses
Primary practice location
26421 W Stonebriar Way
Channahon, IL 60410-8740
Mailing address
26421 W Stonebriar Way
Channahon, IL 60410-8740
Phone (815) 685-2831
Other providers in Channahon, IL
- Arrow Physicians Group, S.C.
- Ascending Connections Behavioral Services
- Aspire Therapy Center
- Aspire-Center for Positive Change
- Baar Home Medical Equipment, Inc.
- Diana Becerra
- Kristine Bermingham
- Nikolas M Bertucci
- Gregory Lorne Bluhm
- Elizabeth Boersma
All providers in Channahon, 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 Jul 16, 2018. 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.