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

Fanny Archel Mateo

Individual provider Behavior Technician · NPI 1396699740

Fanny Archel Mateo is a Behavior Technician in Troy, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

411 Edwardsville Rd
Troy, IL 62294-1339
Phone: (314) 275-0506
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1214416 (IL)

Record details

NPI number1396699740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address848 N 89th St, East Saint Louis, IL 62203-2111

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