LUCHINNI PRABOWO-MANDAYO
NPI 1801623152
Behavior Technician in Park Ridge, IL
About Luchinni Prabowo-mandayo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCHINNI PRABOWO-MANDAYO (NPI 1801623152) is an individual behavior technician in Park Ridge, Illinois and active in the NPI registry since September 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Luchinni Prabowo-mandayo's NPI number?
The NPI number for Luchinni Prabowo-mandayo is 1801623152. It was assigned to this individual provider in the NPPES registry on September 18, 2024.
Where is Luchinni Prabowo-mandayo located?
Luchinni Prabowo-mandayo practices at 444 N Northwest Hwy Ste 147, Park Ridge, IL 60068. The listed phone number is (847) 610-9798.
What is Luchinni Prabowo-mandayo's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Luchinni Prabowo-mandayo was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.