Individual provider · Type 1 NPI

Melynda Rae Costa

Developmental Therapist · Channahon, IL

NPI number 1124379961 Active

Practice location

26349 S Lyndsay Dr
Channahon, IL 60410-5522

Call (815) 521-0372 Map

Fax (815) 521-0372

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1124379961

Melynda Rae Costa's National Provider Identifier is 1124379961, issued on Sep 19, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Channahon, IL. The record was last updated on Jan 19, 2026.