Lifelab Kids Foundation
NPI 1992286306ActiveOrganization· Behavior Analyst· Ferndale, MI
Behavior Analyst in Ferndale, Michigan, registered in NPPES in August 2018. The authorized official on file is Jai Reddy Depa, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992286306 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2018 |
| Last updated in NPPES | Mar 20, 2024 |
| Certified by provider | Jan 12, 2024 |
| Reactivated | Mar 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Occupational Therapist, Mental Health | 225XM0800X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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