Gabriel Michael Felix Lara, BEHAVIOR ANALYST

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3100 S Central Ave
Cicero, IL 60804-3956

Phone

(708) 863-3803

Fax

(708) 863-3863

NPI assigned

Dec 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gabriel Michael Felix Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1649742883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N BROCKWAY ST APT 2",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600670423",
            "telephone_number": "224-443-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S CENTRAL AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043956",
            "telephone_number": "708-863-3803",
            "fax_number": "708-863-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX LARA",
        "first_name": "GABRIEL",
        "middle_name": "MICHAEL",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIEL",
            "last_name": "FELIX",
            "middle_name": "MICHAEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Family Service & MHC of Cicero at Cicero Health Dept
• Family Service and Mental Health Center of Cicero
• Familymed Centers PC
• Jennifer Favela, MS, CCC, SLP
• Stephanie Feliciano, LCSW
• Edalia Fernandez
• Regina Marie Ferrera, MSW LCSW
• Gloria Ines Figuera Inaga, D.D.S.
• Courtney Flood, MS
• Berenice Flores

• Behavior Analyst in Cicero, IL
• Providers in Cicero, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.