MEDICARE: SARAH ROSE FRENCH-VILLARREAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	BACB842979	IL

General Provider Information

NPI Number	:	1407788706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ROSE FRENCH-VILLARREAL

Provider Business Mailing Address
First Line	:	PO BOX 564
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60065-0564
Country	:	US
Telephone Number	:	847-604-0955
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 N GREENLEAF ST
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-3326
Country	:	US
Telephone Number	:	847-604-0955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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