Yogyaa Sureka

Individual provider Active NPI Behavior Technician · Riverdale, IL

NPI 1396698403 · NPPES record last updated Feb 18, 2026

Key facts

NPI
1396698403
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-432952 (IL)
Practice address
14419 S Atlantic Ave
Riverdale, IL 60827-2716
Phone
(708) 841-2273
NPI assigned
Feb 18, 2026
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

State licenses

LicenseStateTypeSpecialty
RBT-25-432952ILMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-432952 IL Yes

Addresses

Primary practice location

14419 S Atlantic Ave
Riverdale, IL 60827-2716

Mailing address

731 S Plymouth CT Apt 502
Chicago, IL 60605-2235
Phone (312) 358-4615

Other providers in Riverdale, IL

All providers in Riverdale, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.