Individual provider Active NPI

Annette Kuhnhofer, RBT-16-24786

  • Behavior Technician
  • Orland Park, IL
National Provider Identifier
1053800607
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-24786 Issued in IL
Practice address
17625 Allison LN
Orland Park, IL 60467-9354
Phone
(702) 280-2868
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-24786 IL Primary

Addresses

Primary practice location

17625 Allison LN
Orland Park, IL 60467-9354

Mailing address

17625 Allison LN
Orland Park, IL 60467-9354
Phone (702) 280-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-16-24786ILMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1053800607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 ALLISON LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679354",
            "telephone_number": "702-280-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 ALLISON LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679354",
            "telephone_number": "702-280-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHNHOFER",
        "first_name": "ANNETTE",
        "credential": "RBT-16-24786",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-16-24786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.