Great Lakes Behavioral Services
NPI 1144818295ActiveOrganization· Behavior Analyst· South Bend, IN
Behavior Analyst in South Bend, Indiana, registered in NPPES in January 2021. The authorized official on file is Shanti Bradley, BCBA, Co-Clinical Director.
Overview
| NPI | 1144818295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2021 |
| Last updated in NPPES | Jun 28, 2021 |
| Certified by provider | Jun 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
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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