Active NPI
Laura Raab, BEHAVIOR TECHNICIAN
- Behavior Technician
- Midlothian, IL
National Provider Identifier
1982171393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4940 147TH CT
Midlothian, IL 60445-2404 - Phone
- (708) 997-0723
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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
4940 147TH CT
Midlothian, IL 60445-2404
Mailing address
4940 147TH CT
Midlothian, IL 60445-2404
Phone (708) 997-0723
Other names 1
- Mrs. Laura Matchinis
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": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1982171393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 147TH CT",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604452404",
"telephone_number": "708-997-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 147TH CT",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604452404",
"telephone_number": "708-997-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAAB",
"first_name": "LAURA",
"name_prefix": "Ms.",
"credential": "BEHAVIOR TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MATCHINIS",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Midlothian, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.