Maria Bragg

Individual provider Active NPI Behavior Technician · Kankakee, IL

NPI 1457217192 · NPPES record last updated Dec 26, 2025

Key facts

NPI
1457217192
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
249 S Schuyler Ave
Kankakee, IL 60901-3884
Phone
(815) 262-8397
NPI assigned
Dec 26, 2025
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

249 S Schuyler Ave
Kankakee, IL 60901-3884

Mailing address

249 S Schuyler Ave
Kankakee, IL 60901-3884
Phone (815) 262-8397

Other providers in Kankakee, IL

All providers in Kankakee, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.