Azzereya Gardner

Behavior Technician · Oak Park, IL

Individual Active NPI

NPI number 1689589475

Practice location

6930 Roosevelt Rd
Oak Park, IL 60304-1845
Phone
(708) 358-3000

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NPI record

NPI
1689589475
Entity type
Individual (Type 1)
Enumeration date
August 17, 2026
Last updated
August 17, 2026
Certified
August 17, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X G63500106735 IL

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

About Azzereya Gardner

Azzereya Gardner is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 6930 Roosevelt Rd, Oak Park, IL 60304-1845. The NPI number 1689589475 was assigned on August 17, 2026 and the record was last updated on August 17, 2026.

Azzereya Gardner lists a license in the registry: #G63500106735 (IL) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Azzereya Gardner?

The NPI number is 1689589475.

What is the phone number of Azzereya Gardner?

The phone number listed for the practice location is (708) 358-3000.

Where is Azzereya Gardner located?

6930 Roosevelt Rd, Oak Park, IL 60304-1845.

What is the taxonomy code for Azzereya Gardner?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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