Blue Bolt Pediatric Care
NPI 1093551350ActiveOrganization· Behavior Analyst· Evanston, IL
Behavior Analyst in Evanston, Illinois, registered in NPPES in July 2024. The authorized official on file is Emily Groben, M.S. ED., BCBA, Board Certified Behavior Analyst.
Overview
| NPI | 1093551350 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2024 |
| Last updated in NPPES | Apr 4, 2025 |
| Certified by provider | Apr 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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