Active NPI
Amanda N Dibenedetto, RBT
- Behavior Technician
- Oak Forest, IL
National Provider Identifier
1467930248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-61919
- Practice address
- 15245 Pine Dr
Oak Forest, IL 60452-1531 - Phone
- (214) 205-0400
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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-18-61919 | IL | Primary |
Addresses
Primary practice location
15245 Pine Dr
Oak Forest, IL 60452-1531
Mailing address
15245 Pine Dr
Oak Forest, IL 60452-1531
Phone (214) 205-0400
Other names 1
- Amanda N Esquilin
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-18-61919 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1467930248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15245 PINE DR",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521531",
"telephone_number": "214-205-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15245 PINE DR",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521531",
"telephone_number": "214-205-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBENEDETTO",
"first_name": "AMANDA",
"middle_name": "N",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-18-61919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "ESQUILIN",
"middle_name": "N",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oak Forest, IL
- Beena Patel Deshmukh, DDS MSD
- Marilyn Catherine Deutmeyer, M.S. CCC-SLP/L
- Louella Beth Devries, L.C.P.C.
- Michael John Devries, PH.D.
- Diagnostics, Inc
- Dorothea S. Diguido, M.S., CTRS
- Dominion Care Network LLC
- Michael William Donahue, DDS PC
- Frank A. Donatello, D.O.
- Dr. Pitud, M.D., Allergy and Asthma, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.