Katherine Alexander

Individual provider Active NPI Behavior Technician · Northbrook, IL

NPI 1457070211 · NPPES record last updated Aug 24, 2022

Key facts

NPI
1457070211
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-231048 (IL)
Practice address
85 Revere Dr Ste Aa
Northbrook, IL 60062-8001
Phone
(844) 247-7222
Fax
(215) 489-8766
NPI assigned
Aug 24, 2022
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
RBT-22-231048ILMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-231048 IL Yes

Addresses

Primary practice location

85 Revere Dr Ste Aa
Northbrook, IL 60062-8001

Mailing address

PO Box 639561
Cincinnati, OH 45263-9561
Phone (844) 247-7222

Other providers in Northbrook, IL

All providers in Northbrook, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.