Active NPI
Sarah Elizabeth Kenney
- Behavior Technician
- Aurora, IL
National Provider Identifier
1982149597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-27760
- Practice address
- 452 N Eola Rd
Aurora, IL 60502-9612 - Phone
- (630) 999-0401
- NPI assigned
- Jan 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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-16-27760 | IL | Primary |
Addresses
Primary practice location
452 N Eola Rd
Aurora, IL 60502-9612
Mailing address
400 Nola Ruth Blvd
Harker Heights, TX 76548-1549
Phone (254) 449-1405
Other names 1
- Sarah Elizabeth Hertz
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-16-27760 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevor'S Place LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Killeen, TX
- NPI 1518320035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1982149597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 NOLA RUTH BLVD",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765481549",
"telephone_number": "254-449-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 N EOLA RD",
"city": "AURORA",
"state": "IL",
"postal_code": "605029612",
"telephone_number": "630-999-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-16-27760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "HERTZ",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.