Crystal Danae' Pombert, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

210 N Prairie
Grant Park, IL 60940-7154

Phone

(815) 662-8209

NPI assigned

May 3, 2018

Last updated

May 3, 2018By the provider in NPPES

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

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1558850693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "GRANT PARK",
            "state": "IL",
            "postal_code": "609400194",
            "telephone_number": "815-662-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N PRAIRIE",
            "city": "GRANT PARK",
            "state": "IL",
            "postal_code": "609407154",
            "telephone_number": "815-662-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMBERT",
        "first_name": "CRYSTAL",
        "middle_name": "DANAE'",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Park Community Unit District 6
• Grant Park Fire Protection District
• Grant Park School District #6
• Hillary Rose Hubert, ED.S
• Heather Ohm
• Rebecca Schneider
• Sarah Elizabeth Toma, M.H.S, CCC-SLP/L

• Behavior Technician in Grant Park, IL
• Providers in Grant Park, 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 3, 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.