Individual provider Active NPI

Gabriella Frances Vinciguerra

  • Behavior Technician
  • Lincolnwood, IL
National Provider Identifier
1831934884
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1089107 Issued in IL
Practice address
6540 N Lincoln Ave Ste 200
Lincolnwood, IL 60712-3927
Phone
(224) 701-5401
NPI assigned
Jun 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-24-339606 IL
Behavior Technician 106S00000X BACB1089107 IL Primary

Addresses

Primary practice location

6540 N Lincoln Ave Ste 200
Lincolnwood, IL 60712-3927

Mailing address

5393 Elaine CT
Castro Valley, CA 94546-1613
Phone (510) 731-7965

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

LicenseStateTypeSpecialty
RBT-24-339606ILMDBehavioral Analyst
BACB1089107ILMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1831934884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5393 ELAINE CT",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461613",
            "telephone_number": "510-731-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 N LINCOLN AVE STE 200",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123927",
            "telephone_number": "224-701-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCIGUERRA",
        "first_name": "GABRIELLA",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "RBT-24-339606",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "BACB1089107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.