Michelle Bremner, BCBA 1-18-31595

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31595 Issued in NU

Practice address

887 E Wilmette Rd Ste E
Palatine, IL 60074-6495

Phone

(847) 604-0955

NPI assigned

Jun 14, 2018

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Pediatric Therapy Services PLLC

  • Behavior Analyst
  • Lisle, IL
  • NPI 1265978969
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1902399850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CEDAR RDG APT C",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600106204",
            "telephone_number": "847-666-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 E WILMETTE RD STE E",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746495",
            "telephone_number": "847-604-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Dundee Ave",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600104218",
            "country_code": "US",
            "telephone_number": "847-666-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREMNER",
        "first_name": "MICHELLE",
        "credential": "BCBA 1-18-31595",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-04-17",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-18-31595",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-31595",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "17-43470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khushkaran Singh Brar, PT, DPT
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• Chase Braun
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• Shannon Brekke, PT
• Jessica Brener
• Paul F. Brezinski, D.P.M.
• Bridge Youth & Family Services
• Bridge Youth & Family Services
• Brilliant Eyecare, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.