Erah M Hogan

Individual provider Active NPI Behavior Technician · Genoa, IL

NPI 1780549006 · NPPES record last updated Dec 18, 2025

Key facts

NPI
1780549006
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-493755 (IL)
Practice address
905 Wilshire Dr Apt 2
Genoa, IL 60135-1351
Phone
(815) 901-3662
NPI assigned
Dec 18, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-25-493755ILMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193200000X MULTI-SPECIALTY GROUP
106S00000X RBT-25-493755 IL Yes

Addresses

Primary practice location

905 Wilshire Dr Apt 2
Genoa, IL 60135-1351

Mailing address

905 Wilshire Dr Apt 2
Genoa, IL 60135-1351
Phone (815) 901-3662

Other providers in Genoa, IL

All providers in Genoa, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.