Devin Hartman

Individual provider Active NPI Behavior Technician · Newton, IL

NPI 1467295477 · NPPES record last updated Jun 17, 2024

Key facts

NPI
1467295477
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-349870 (IL)
Practice address
605 S Van Buren St
Newton, IL 62448-1651
Phone
(618) 783-7529
NPI assigned
Jun 17, 2024
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-24-349870ILMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-349870 IL Yes

Addresses

Primary practice location

605 S Van Buren St
Newton, IL 62448-1651

Mailing address

605 S Van Buren St
Newton, IL 62448-1651
Phone (618) 783-7529

Other providers in Newton, IL

All providers in Newton, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.