Keri Pualani Yamamoto Iong

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

I520-5159-8939 Issued in IL

Practice address

6419 W 87TH St
Oak Lawn, IL 60453-1048

Phone

(708) 634-0821

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1386213965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 W 87TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531048",
            "telephone_number": "708-634-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONG",
        "first_name": "KERI",
        "middle_name": "PUALANI YAMAMOTO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "I520-5159-8939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Pulmonary Diseases LTD
• Internal Medicine, S.C.
• International Behavioral Health
• International Dental of Oak Lawn
• Melissa Inzinga
• John J. Ippolito, MD
• Hina Iqbal, MD
• Shrikar Iragavarapu, MD
• Abida Irshad, M.D.
• Allison Isabelli, DO, MA

• Behavior Technician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.