Jodie Lynn Deruyter, MS, BA, BCBA
NPI 1104176387ActiveIndividual· Behavior Analyst· Madison, WI
Behavior Analyst (MS, BA, BCBA) in Madison, Wisconsin, licensed in WI, with an NPI issued in September 2012.
Overview
| NPI | 1104176387 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, BA, BCBA |
| Sole proprietor | No |
| NPI issued | Sep 14, 2012 |
| Last updated in NPPES | Sep 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 45-140 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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