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

Individual provider Behavior Technician · NPI 1215539986

Requeia Stoutmire is a Behavior Technician in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

651 Busse Hwy Apt 3A
Park Ridge, IL 60068-2557
Phone: (773) 331-3651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence S335-7208-8751 (IL)

Record details

NPI number1215539986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020
Mailing address651 Busse Hwy Apt 3a, Park Ridge, IL 60068-2557

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