IndividualActive
Allyn Divinagracia
NPI 1700615895 · Behavior Technician · Palos Heights, IL
Provider details
- NPI number
- 1700615895
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11755 Southwest Hwy
Palos Heights, IL 60463-1015
Phone: (708) 586-4239
Approximate (ZIP-level) locationGet directions
Mailing address
7707 Luna Ave
Burbank, IL 60459-1340
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.