Saja Bataeineh

Individual provider Active NPI Behavior Technician · Orland Park, IL

NPI 1649039405 · NPPES record last updated Mar 15, 2024

Key facts

NPI
1649039405
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
15245 Raintree Dr
Orland Park, IL 60462-3802
Phone
(708) 830-3738
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

15245 Raintree Dr
Orland Park, IL 60462-3802

Mailing address

15245 Raintree Dr
Orland Park, IL 60462-3802

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2024.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1649039405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 RAINTREE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 RAINTREE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623802",
            "telephone_number": "708-830-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATAEINEH",
        "first_name": "SAJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

All providers in Orland Park, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.