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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHANIEL MICHAEL PENCHAR

Active

NATHANIEL MICHAEL PENCHAR is a Behavior Technician healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1619860582 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · CRYSTAL LAKE, IL

Registration Details

NPI Number
1619860582
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2025 (1.2339632072555 yrs)
Last Updated
May 30, 2025

Practice Information

Address
150 E DARTMOOR DR
CRYSTAL LAKE, IL, 600148710
Browse IL providers · Browse ZIP 60014
Phone
8883083728
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in CRYSTAL LAKE, IL

Name Credential NPI
MACKENZIE L PARRY RBT-17-31537 1346739380
DANIEL PEGARSCH RBT 1760972889
BRANDY MICHELLE KAMINSKY 1528558533
BETRINNA EVE MORICI 1497241392
ELAINE SCHUMACHER 1023597259
SANDY SANAVONGXAY 1043791791
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.