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

Georgia Rae Illa

Individual provider Behavior Technician · NPI 1538734702

Georgia Rae Illa is a Behavior Technician in Woodbury, Minnesota. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

731 Bielenberg Drive Suites 102-104
Woodbury, MN 55125
Phone: (612) 712-5381
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1538734702
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

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