Angelina Marie Anderson
Individual provider Active NPI Behavior Technician · Des Plaines, IL
NPI 1194599084 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1194599084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 950 Lee St
Des Plaines, IL 60016-6532 - Phone
- (773) 896-5208
- NPI assigned
- Nov 10, 2023
- 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
950 Lee St
Des Plaines, IL 60016-6532
Mailing address
6850 N Ottawa Ave
Chicago, IL 60631-1105
Other practice location 1
6850 N Ottawa Ave
Chicago, IL 60631-1105
Phone (773) 896-5208
Other providers in Des Plaines, IL
- American Home Visiting Physicians
- American Taxi Dispatch, Inc.
- Jaimin Pinakin Amin
- Anderson Medical Centers
- Anderson Medical Centers, LLC
- Angel Medical Vans Inc.
- Angel'S Home Lab Services LLC
- Angela Demikis, LLC
- Dilyana Angelova
- Angels Home Healthcare Services, Inc
All providers in Des Plaines, 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 Nov 10, 2023. 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.