Amina Fatima
Behavior Technician in Northbrook, IL. Individual provider (NPI-1).
NPI number1962047340
StatusActive
Last updated in NPPESNov 9, 2019
Details
- NPI
- 1962047340
- Entity type
- Individual (NPI-1)
- Name
- Amina Fatima
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2019
- Last updated
- Nov 9, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | IL | Yes |
Practice location
5 Revere Dr Ste 120Northbrook, IL 60062-8005
Phone 847-306-9843
Mailing address
5 Revere Dr Ste 120Northbrook, IL 60062-8005
Phone 847-306-9843
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 662 Behavior Technician providers in Northbrook · All 2,895 providers in Northbrook
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