Tracy Boraca, RBT 17-42752

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

17-42752 Issued in NU

Practice address

32225 N Pine Ave
Grayslake, IL 60030-2546

Phone

(847) 650-2186

NPI assigned

May 21, 2018

Last updated

May 21, 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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1730670217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32225 N PINE AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32225 N PINE AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302546",
            "telephone_number": "847-650-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORACA",
        "first_name": "TRACY",
        "credential": "RBT 17-42752",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "17-42752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Grayslake, IL
• Providers in Grayslake, 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 21, 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.