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Genevieve Autumn-Rose Judith Lyeth

NPI 1124602354ActiveIndividual· Behavior Technician· Edwardsville, IL

Behavior Technician in Edwardsville, Illinois, with an NPI issued in May 2021.

Overview

NPI1124602354
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certified by providerMay 11, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Technician Primary106S00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other behavior technicians in Edwardsville

All 80 behavior technicians in Edwardsville · All behavior technicians in Illinois