GEORGIA RAE ILLA
NPI 1538734702
Behavior Technician in Woodbury, MN
About Georgia Rae Illa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA RAE ILLA (NPI 1538734702) is an individual behavior technician in Woodbury, Minnesota and active in the NPI registry since May 2021.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Georgia Illa's NPI number?
The NPI number for Georgia Illa is 1538734702. It was assigned to this individual provider in the NPPES registry on May 20, 2021.
Where is Georgia Illa located?
Georgia Illa practices at 731 Bielenberg Drive Suites 102-104, Woodbury, MN 55125. The listed phone number is (612) 712-5381.
What is Georgia Illa's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Georgia Illa was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.