Laura Quezada

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-122984 Issued in IL

Practice address

1715 N Division St Ste D
Morris, IL 60450-3102

Phone

(815) 510-0585

NPI assigned

Nov 1, 2023

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unlocking Abilities Behavior and Learning, LLC

  • Multi-Specialty Clinic/Center
  • Morris, IL
  • NPI 1013430008
  NPD

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1619740669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE D",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE D",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503102",
            "telephone_number": "815-510-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-20-122984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Price, LPN
• Sherese A Pruss, APN
• Peter J Pullara Jr., D.D.S.
• Bailey Helene Quaka, MSN-FNP
• Quality Home Health Inc
• Raja K Saleem MD SC
• Deoshanie Rampersaud, PHARMD
• Lauralyn Randles, COMS
• Deena G Raval, D.O
• Savanah Read

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.