Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coretta Godbold

Individual provider Behavior Technician · NPI 1366371957

Coretta Godbold is a Behavior Technician in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

105 N Greenleaf St Ste B
Gurnee, IL 60031-3326
Phone: (847) 390-2271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence G314-1007-2713 (IL)

Record details

NPI number1366371957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address710 Glen Rock Ave Apt 2, Waukegan, IL 60085-5460

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