Brianna Peterson, BACB 1-24-75392

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-75392 Issued in IL

Practice address

854 Technology Way Ste E
Libertyville, IL 60048-5350

Phone

(847) 816-7200

NPI assigned

May 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Therapy Center of America, LLC

  • Multi-Specialty Clinic/Center
  • Libertyville, IL
  • NPI 1225064488
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1164911715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 HARRISON AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 TECHNOLOGY WAY STE E",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485350",
            "telephone_number": "847-816-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIANNA",
        "credential": "BACB 1-24-75392",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-24-75392",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "18-48032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sankara R Peruri, MD
• Kathleen Ann Perz, PT
• Michelle Ann Pessis, M.S.
• Nancy V Peters, LMT
• Allison L Peterson, CRNA
• Karin Marie Peterson, LCSW
• Lena Carolyn Peterson, MS, OTR/L
• Kendra Marie Petrie, M.A.
• Pharmacy Healthcare Solutions, LTD. (Advocate Rx Solutions)
• Physiotherapy Associates, Inc. (NovaCare Kids)

• Behavior Analyst in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.