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Pebblebrook Pediatric Behavioral Therapy, LLC

NPI 1285146092ActiveOrganization· Behavior Analyst· Lake In The Hills, IL

Behavior Analyst in Lake In The Hills, Illinois, registered in NPPES in November 2017. The authorized official on file is Jennifer D. Rice, BCBA, Owner/Bcba.

Overview

NPI1285146092
StatusActive
Entity typeOrganization
NPI issuedNov 2, 2017
Last updated in NPPESAug 19, 2021
Certified by providerAug 19, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Analyst Primary103K00000X1-17-27622IL

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 Analyst providers in Lake In The Hills

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