Active NPI
Flavio Angel Herrera
- Behavior Technician
- Lake in the Hills, IL
National Provider Identifier
1609688381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9111 Trinity Dr
Lake in the Hills, IL 60156-1668 - Phone
- (773) 842-0201
- NPI assigned
- Jan 21, 2025
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
9111 Trinity Dr
Lake in the Hills, IL 60156-1668
Mailing address
276 Misty RDG
Lakemoor, IL 60051-7869
Phone (773) 842-0201
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1609688381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 MISTY RDG",
"city": "LAKEMOOR",
"state": "IL",
"postal_code": "600517869",
"telephone_number": "773-842-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 TRINITY DR",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601561668",
"telephone_number": "773-842-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "FLAVIO",
"middle_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-21",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.