Jacqueline Ortiz Contreras

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

41 Cedar LN
Genoa, IL 60135-1179

Phone

(815) 375-4739

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By 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

Electronic endpoints 1

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1720722754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CEDAR LN",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CEDAR LN",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351179",
            "telephone_number": "815-375-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "JACQUELINE",
        "middle_name": "ORTIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 Cedar Ln",
            "city": "Genoa",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601351179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ben Gordon Center
• Allison Marie Brown
• Kristin Brust, CFNC, BCHHP
• Jeffrey T Caron, P.C.
• Cara Comparone, LCSW
• David N McAuslan DDS PC (Genoa Smiles)
• Victoria Elizabeth Deku, M.S. CCC-SLP
• Steven J Disanti, DO
• Dr Hilda Hattar DC PC (Balance Chiropractic & Wellness Center)
• Justin Tyler Durancik, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.