Vanessa Bahena, RBT
Individual provider Active NPI Behavior Technician · Waukegan, IL
NPI 1245720481 · NPPES record last updated May 14, 2018
Key facts
- NPI
- 1245720481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 18-51098
- Practice address
- 828 W Pacific Ave
Waukegan, IL 60085-1830 - Phone
- (224) 944-9175
- NPI assigned
- May 14, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-51098 | Yes |
Addresses
Primary practice location
828 W Pacific Ave
Waukegan, IL 60085-1830
Mailing address
828 W Pacific Ave
Waukegan, IL 60085-1830
Phone (224) 944-9175
Other providers in Waukegan, IL
- B&D Consulting
- Dragana Babin
- Ama Jane Baffoe
- Adrian Bahena
- Joy Bahena
- Patricia Baiyewu
- Christopher Baker
- Dhiya T Bakr
- Shumaila Bakr
- Lenette Baltazar
All providers in Waukegan, 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 May 14, 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.