Guadalupe Acosta-Lucido
Individual provider Active NPI Behavior Technician · Crystal Lake, IL
NPI 1982188777 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1982188777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 780 McArdle Dr Ste Abc
Crystal Lake, IL 60014-8155 - Phone
- (779) 220-6262
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IL | Yes |
Addresses
Primary practice location
780 McArdle Dr Ste Abc
Crystal Lake, IL 60014-8155
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other providers in Crystal Lake, IL
- Accuquest Hearing Center, LLC
- Ace Therapy Services of Illinois, Inc.
- Ace Therapy Services of Illinois, Inc.
- Mason JP Acheson
- Acorn Pediatric Therapy LLC
- Adaptive Minds LLC
- Jeremy Adler
- Adr Therapy PLLC
- Advance Sleep Solutions and Diagnostics Inc
- Advanced Allergy & Asthma Associates SC
All providers in Crystal Lake, IL · Behavior Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.