Renee Lynn Brake
NPI 1104584457ActiveIndividual· Behavior Technician· Nixa, MO
Behavior Technician in Nixa, Missouri, licensed in MO, with an NPI issued in December 2021.
Overview
| NPI | 1104584457 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 3, 2021 |
| Last updated in NPPES | Dec 3, 2021 |
| Certified by provider | Dec 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X | RBT-21-193688 | MO |
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 |
|---|
Other Behavior Technician providers in Nixa
- 1144177205
- 1790593168
- 1528805181
- 1558108134
- 1992638365
- 1164390001
- 1720768591
- 1649001801
- 1316748999
- 1043058639
- 1639003619
- 1265325351