Active NPI
Alejandra Provenzale
- Behavior Technician
- Plainfield, IL
National Provider Identifier
1912823964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-465535
- Practice address
- 23917 W Robert Ave
Plainfield, IL 60544-3161 - Phone
- (815) 656-7827
- NPI assigned
- Jun 24, 2026
- 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-25-465535 | IL | Primary |
Addresses
Primary practice location
23917 W Robert Ave
Plainfield, IL 60544-3161
Mailing address
4201 Lacey Rd
Downers Grove, IL 60515-1839
Phone (815) 503-1869
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1912823964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LACEY RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151839",
"telephone_number": "815-503-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23917 W ROBERT AVE",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605443161",
"telephone_number": "815-656-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVENZALE",
"first_name": "ALEJANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-25-465535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.