Active NPI
Grace Peper, BCBA
- Behavior Analyst
- Milwaukee, WI
National Provider Identifier
1295490795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1179140
- Practice address
- 1433 N Water St FL 4
Milwaukee, WI 53202-2557 - Phone
- (847) 465-9556
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1179140 | WI | Primary |
Addresses
Primary practice location
1433 N Water St FL 4
Milwaukee, WI 53202-2557
Mailing address
991 Oak Creek Dr
Lombard, IL 60148-6408
Phone (847) 465-9556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179140 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Funtastic Gymnastic LLC | Behavior Analyst | Current | Accepting new patients |
| Milestones Behavioral Pediatrics Inc | Past | Accepting new patients |
Locations
991 Oak Creek Dr
Lombard, IL 60148
Phone (312) 882-5237
Organizations & group practices 2
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.
-
- Behavior Analyst
- Lombard, IL
- NPI 1396078275
-
- Community/Behavioral Health Agency
- De Pere, WI
- NPI 1649759705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1295490795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 OAK CREEK DR",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486408",
"telephone_number": "847-465-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 N WATER ST FL 4",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022557",
"telephone_number": "847-465-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPER",
"first_name": "GRACE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "1179140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.