Active NPI
Manar Jaber
- Behavior Technician
- Bridgeview, IL
National Provider Identifier
1821764556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-104314
- Practice address
- 9119 Beloit Ave
Bridgeview, IL 60455-2606 - Phone
- (708) 655-8767
- NPI assigned
- Aug 22, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 19-104314 | IL | MD | Behavior Technician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 19-104314 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9119 Beloit Ave
Bridgeview, IL 60455-2606
Mailing address
9119 Beloit Ave
Bridgeview, IL 60455-2606
Phone (708) 655-8767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2021.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629590400000",
"number": "1821764556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 BELOIT AVE",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604552606",
"telephone_number": "708-655-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 BELOIT AVE",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604552606",
"telephone_number": "708-655-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABER",
"first_name": "MANAR",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2021-08-22",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "19-104314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.