Alan Tellez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2615 S 58TH CT
Cicero, IL 60804-3218

Phone

(708) 469-8816

NPI assigned

Mar 18, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Xochiquetzal Tellez Professional name

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1902606940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S 58TH CT",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 S 58TH CT",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043218",
            "telephone_number": "708-469-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XOCHIQUETZAL",
            "last_name": "TELLEZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suburban PT, Inc.
• Barbara Carol Such, PSY.D.
• Rama Sundar, MD
• Brian Swanson
• Kayla Taylor, OTR/L
• Kiara Tellez
• Ruchir Thakkar, D.O.
• Paul Lyndon Thames Jr.
• Sabiha Thaseen, M.D.
• The Board of Trustees of the University of Illinois

• Behavior Technician in Cicero, IL
• Providers in Cicero, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.