Active NPI
Morgan Prellberg
- Behavior Technician
- Libertyville, IL
National Provider Identifier
1710472253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 28045 N Ashley Cir
Libertyville, IL 60048-9658 - Phone
- (847) 857-9656
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
28045 N Ashley Cir
Libertyville, IL 60048-9658
Mailing address
712 Waters Edge Dr Apt 302
Lake Villa, IL 60046-8423
Phone (224) 374-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1710472253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 WATERS EDGE DR APT 302",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600468423",
"telephone_number": "224-374-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28045 N ASHLEY CIR",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600489658",
"telephone_number": "847-857-9656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRELLBERG",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
- Power in Motion Rehabilitation Services, Inc.
- Power to Learn
- Sara Jasmina Eftekhari Power, PHARMD
- Cynthia L Powers, PTA
- Prairie Home Healthcare Services Corporation
- Wayne Andrew Prepura, PHD COUNSELLING PSYC
- Kevin M Prescott, MD
- Victoria Priola, PSYD
- Proactive Alternatives PC
- George Michael Procento, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.