Active NPI
Makiyha Blackwell
- Behavior Technician
- Hoffman Estates, IL
National Provider Identifier
1790679892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-417106
- Practice address
- 1721 Moon Lake Blvd
Hoffman Estates, IL 60169-1069 - Phone
- (708) 927-4127
- NPI assigned
- Jun 4, 2025
- 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 | RBT-25-417106 | IL | Primary |
Addresses
Primary practice location
1721 Moon Lake Blvd
Hoffman Estates, IL 60169-1069
Mailing address
135 Walnut Dr
Saint Charles, IL 60174-1574
Phone (224) 355-6540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-417106 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1790679892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 WALNUT DR",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601741574",
"telephone_number": "224-355-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 MOON LAKE BLVD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601691069",
"telephone_number": "708-927-4127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "MAKIYHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-25-417106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
- Biocare Pathology Lab LLC
- Biohormones Inc (Women's Wellness & Rejuvenation)
- Kristen Hendrix Bishop, M.D.
- Crystal Biundo, LCSW
- BKD Personal Assistance Services LLC (Brookdale at Home Hoffman Estates)
- BLC-Devonshire of Hoffman Estates, LLC (Brookdale Hoffman Estates)
- Sabrina Blenkhorn
- Dylan Edward Bochette
- John Bochniak, M.D.
- Neha Bodiwala, APN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.