IndividualActive
Luchinni Prabowo-Mandayo
NPI 1801623152 · Behavior Technician · Park Ridge, IL
Luchinni Prabowo-Mandayo is a Behavior Technician provider in Park Ridge, IL (NPI 1801623152).
Provider details
- NPI number
- 1801623152
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
444 N Northwest Hwy Ste 147
Park Ridge, IL 60068-3263
Phone: (847) 610-9798
Street-level locationGet directions
Mailing address
6246 N Oakley Ave Apt 3
Chicago, IL 60659-2984
Registry dates
- Enumerated
- 2024-09-18
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Luchinni Prabowo-Mandayo's NPI number?
- Luchinni Prabowo-Mandayo's National Provider Identifier (NPI) is 1801623152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luchinni Prabowo-Mandayo's specialty?
- Luchinni Prabowo-Mandayo is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Luchinni Prabowo-Mandayo located?
- Luchinni Prabowo-Mandayo's practice location on file with NPPES is 444 N Northwest Hwy Ste 147, Park Ridge, IL 60068-3263.
- What is Luchinni Prabowo-Mandayo's phone number?
- The practice phone number listed in the NPPES registry for Luchinni Prabowo-Mandayo is (847) 610-9798.
- Is Luchinni Prabowo-Mandayo's NPI active?
- Yes — Luchinni Prabowo-Mandayo's NPI (1801623152) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.