Rafael Garcia Jr.
Individual provider Active NPI Behavior Technician · Chicago, IL
NPI 1407627474 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1407627474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 1710422464 (IL)
- Practice address
- 737 W Wrightwood Ave
Chicago, IL 60614-2539 - Phone
- (773) 672-9815
- NPI assigned
- Jan 9, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1710422464 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Communications, LLC | Current |
Accepting new patients |
Locations
737 W Wrightwood Ave
Chicago, IL 60614
Phone (773) 672-9815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1710422464 | IL | Yes |
Addresses
Primary practice location
737 W Wrightwood Ave
Chicago, IL 60614-2539
Mailing address
737 W Wrightwood Ave
Chicago, IL 60614-2539
Phone (773) 672-9815
Other providers in Chicago, IL
- Olga R Garcia
- Patricia Garcia
- Pedro Garcia
- Phillip Garcia
- Priscilla Madeleyne Garcia
- Ramon Andres Garcia Jr.
- Rebecca Garcia
- Ricardo Garcia
- Richard Garcia
- Robyn Garcia
All providers in Chicago, 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 Jan 9, 2024. 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.