Torreese Crosby-Cook
Individual provider Active NPI Behavior Technician · Park Forest, IL
NPI 1366192080 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1366192080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3322B Western Ave
Park Forest, IL 60466-1806 - Phone
- (708) 677-2622
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- 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
3322B Western Ave
Park Forest, IL 60466-1806
Mailing address
3322B Western Ave
Park Forest, IL 60466-1806
Phone (708) 677-2622
Other providers in Park Forest, IL
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- Charlotte M. Covello
- Delaney Danielle Creamer
- Sheila Crusoe
- Timothy R. Cybulski
- Brittany Davis
- Elda Jean Davis
- Erin Davis
All providers in Park Forest, 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 Mar 25, 2022. 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.