Emely Nathalie Acevedo

Individual provider Active NPI Behavior Technician · Crest Hill, IL

NPI 1205709581 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1205709581
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-3052666 (IL)
Practice address
16131 Weber Rd
Crest Hill, IL 60403-8742
Phone
(708) 209-8070
NPI assigned
Sep 24, 2025
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

LicenseStateTypeSpecialty
RBT-23-3052666ILMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-3052666 IL Yes

Addresses

Primary practice location

16131 Weber Rd
Crest Hill, IL 60403-8742

Mailing address

1436 Pioneer Rd Apt 4
Crest Hill, IL 60403-3366

Other providers in Crest Hill, IL

All providers in Crest Hill, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.