Suzanne De Los Monteros, RBT-18-55582

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

18-55582 Issued in IL

Practice address

1841 Courtwright Dr
Plainfield, IL 60586-5979

Phone

(708) 917-9143

NPI assigned

May 13, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Suzanne Menard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1497245773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 COURTWRIGHT DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865979",
            "telephone_number": "708-917-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 COURTWRIGHT DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865979",
            "telephone_number": "708-917-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS MONTEROS",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "RBT-18-55582",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "18-55582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MENARD",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Amanda Marissa Deangelo, MA
• Anna Beth Deeney
• Kari Ann Defano, PT, DPT
• Defining Moments Counseling PLLC
• Austin Degroote

• Behavior Technician in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.