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

Individual provider Developmental Therapist · NPI 1669099602

Eboni Nikia Vernon is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1622 S Blue Island Ave Ste 1
Chicago, IL 60608-2238
Phone: (312) 584-0559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-41566 (IL)
Developmental Therapist Taxonomy 222Q00000X (IL)

Record details

NPI number1669099602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2020
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address1622 S Blue Island Ave Ste 1, Chicago, IL 60608-2238

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