South Branch Behavioral Health & Education
NPI 1104521236ActiveOrganization· Behavior Analyst· Apex, NC
Behavior Analyst in Apex, North Carolina, registered in NPPES in March 2023. The authorized official on file is Ken Dicob, Administrator.
Overview
| NPI | 1104521236 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2023 |
| Last updated in NPPES | Mar 30, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Assistant Behavior Analyst | 106E00000X | — | — |
| Behavior Technician | 106S00000X | — | — |
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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