Artaesia Horton

Individual provider Active NPI Behavior Technician · Countryside, IL

NPI 1295413771 · NPPES record last updated Jul 6, 2023

Key facts

NPI
1295413771
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5705 Willow Springs Rd
Countryside, IL 60525-3478
Phone
(312) 965-2997
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Early Autism Services, LLC Current
since Jul 9, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5705 Willow Springs Rd
Countryside, IL 60525-3478

Mailing address

5705 Willow Springs Rd
Countryside, IL 60525-3478
Phone (312) 965-2997

Other providers in Countryside, IL

All providers in Countryside, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.