Active NPI
Mariana Dolores Kennard, RBT
- Behavior Technician
- Aurora, IL
National Provider Identifier
1447796354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-22521
- Practice address
- 452 N Eola Rd
Aurora, IL 60502-9612 - Phone
- (630) 999-0401
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-22521 | IL | Primary |
Addresses
Primary practice location
452 N Eola Rd
Aurora, IL 60502-9612
Mailing address
451 N Eola Road
Aurora, IL 60502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-16-22521 | Other | IL | RBT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-22521 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1447796354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 N EOLA ROAD",
"city": "AURORA",
"state": "IL",
"postal_code": "60502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 N EOLA RD",
"city": "AURORA",
"state": "IL",
"postal_code": "605029612",
"telephone_number": "630-999-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNARD",
"first_name": "MARIANA",
"middle_name": "DOLORES",
"name_prefix": "Ms.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-16-22521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-16-22521",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.