NPI 1093606766

Luis Angel Sida Solis

Practitioner Behavior Technician Lansing, IL

Practice location

Address: 2559 Indiana Ave, Lansing, IL 60438-2138
Phone: (708) 654-4704

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-376715 (IL)

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence 049.284465 (IL)

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Registry record

NPI: 1093606766
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2025
Record last updated: 11 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.