Active NPI
Rachel Fanella
- Behavior Analyst
- Hoffman Estates, IL
National Provider Identifier
1194482158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 152.00051
- Practice address
- 1721 Moon Lake Blvd Ste 130-140
Hoffman Estates, IL 60169-1069 - Phone
- (312) 965-2997
- Fax
- (312) 929-0324
- NPI assigned
- Nov 23, 2021
- Reactivated
- May 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 152.00051 | IL | Primary |
Addresses
Primary practice location
1721 Moon Lake Blvd Ste 130-140
Hoffman Estates, IL 60169-1069
Mailing address
0N562 Armstrong LN
Geneva, IL 60134-6118
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
| License | State | Type | Specialty |
|---|---|---|---|
| 152.00051 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1194482158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0N562 ARMSTRONG LN",
"city": "GENEVA",
"state": "IL",
"postal_code": "601346118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 MOON LAKE BLVD STE 130-140",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601691069",
"telephone_number": "312-965-2997",
"fax_number": "312-929-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANELLA",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"deactivation_date": "2026-04-15",
"reactivation_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "152.00051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.