Michelle Rambeau

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29495

Practice address

306 N Kensington Ave
La Grange Park, IL 60526-1870

Phone

(312) 914-0611

Fax

(312) 929-0324

NPI assigned

Apr 12, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1548767833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N KENSINGTON AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261870",
            "telephone_number": "312-914-0611",
            "fax_number": "312-929-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N KENSINGTON AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261870",
            "telephone_number": "312-914-0611",
            "fax_number": "312-929-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBEAU",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-29495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.