Molly Bettencourt Robin
Individual provider Active NPI Behavior Technician · Palatine, IL
NPI 1265925317 · NPPES record last updated Jun 13, 2018
Key facts
- NPI
- 1265925317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 17-43810 (IN)
- Practice address
- 1760 W Algonquin Rd
Palatine, IL 60067-4791 - Phone
- (847) 358-5510
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-43810 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perspective Behavioral and Pain Solutions LTD | Current |
Accepting new patients |
Locations
2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 17-43810 | IN | Yes |
Addresses
Primary practice location
1760 W Algonquin Rd
Palatine, IL 60067-4791
Mailing address
1760 W Algonquin Rd
Palatine, IL 60067-4791
Other providers in Palatine, IL
- Alexander Benitez
- Amanda Lynn Berbaum Aussem
- Kristina Bergles
- Frank J Bernero
- Hugo Francis Bertagni
- Lawrence J Beuret
- Swati Suyog Bhobe
- Kimberly Bhullar
- Raquel Bielawski
- Brittany Nicole Bill
All providers in Palatine, 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 Jun 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.