LUCHINNI PRABOWO-MANDAYO
NPI 1801623152
Behavior Technician in Park Ridge, IL

Active since September 18, 2024
444 N NORTHWEST HWY STE 147, PARK RIDGE, IL 60068(847) 610-9798 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1801623152
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameLUCHINNI PRABOWO-MANDAYO
Location Address444 N NORTHWEST HWY STE 147Park Ridge, IL 60068-3263
Mailing Address6246 N Oakley Ave Apt 3Chicago, IL 60659-2984 · (773) 313-5529
Sole ProprietorYes
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1801623152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
444 N NORTHWEST HWY STE 147, Park Ridge, IL 60068

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.

Speech-Language Pathologist
444 N NORTHWEST HWY STE 147
PARK RIDGE, IL 60068
Occupational Therapist
444 N NORTHWEST HWY STE 147
PARK RIDGE, IL 60068
Occupational Therapy Assistant
444 N NORTHWEST HWY STE 147
PARK RIDGE, IL 60068
Occupational Therapist
444 N NORTHWEST HWY STE 147
PARK RIDGE, IL 60068
Speech-Language Pathologist
444 N NORTHWEST HWY STE 147
PARK RIDGE, IL 60068
Physical Therapist
444 N NORTHWEST HWY STE 147
PARK RIDGE, IL 60068
Speech-Language Pathologist
444 N NORTHWEST HWY STE 147
PARK RIDGE, IL 60068
Occupational Therapist
444 N NORTHWEST HWY STE 147
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.