Healthcare Provider Details
I. General information
NPI: 1285564880
Provider Name (Legal Business Name): ROBYN NICOLE CALVELO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1921 ROHLWING RD
ROLLING MEADOWS IL
60008-4800
US
IV. Provider business mailing address
1921 ROHLWING RD
ROLLING MEADOWS IL
60008-4800
US
V. Phone/Fax
- Phone: 904-868-5135
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: