Teanna Huley
Individual provider Active NPI Behavior Technician · Lake Bluff, IL
NPI 1992677116 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1992677116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 610 Birch Ave
Lake Bluff, IL 60044-1519 - Phone
- (224) 469-9944
- NPI assigned
- Sep 18, 2025
- 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
610 Birch Ave
Lake Bluff, IL 60044-1519
Mailing address
610 Birch Ave
Lake Bluff, IL 60044-1519
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. 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.