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BLUE BOLT PEDIATRIC CARE
NPI 1093551350
Behavior Analyst in Evanston, IL

Active since July 06, 2024
800 ELGIN RD APT 1218, EVANSTON, IL 60201(917) 580-2599 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Jul 6, 2024 (2 updates tracked since 2024).

About Blue Bolt Pediatric Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE BOLT PEDIATRIC CARE (NPI 1093551350) is a healthcare organization registered as a behavior analyst in Evanston, Illinois and active in the NPI registry since July 2024. The organization lists Emily Groben, Board Certified Behavior Analyst, as its authorized official.

NPPES Registry Identity

NPI1093551350
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBLUE BOLT PEDIATRIC CARE
Location Address800 ELGIN RD APT 1218Evanston, IL 60201-5628
Mailing Address1555 Sherman Ave # 324Evanston, IL 60201-4421
Phone(917) 580-2599
Organization SubpartNo
Authorized OfficialEmily GrobenBoard Certified Behavior Analyst · (917) 580-2599
Enumeration DateJuly 6, 2024
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1093551350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
800 ELGIN RD APT 1218, Evanston, IL 60201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Bolt Pediatric Care's NPI number?

The NPI number for Blue Bolt Pediatric Care is 1093551350. It was assigned to this organization in the NPPES registry on July 6, 2024.

Where is Blue Bolt Pediatric Care located?

Blue Bolt Pediatric Care is located at 800 Elgin Rd Apt 1218, Evanston, IL 60201. The listed phone number is (917) 580-2599.

What is Blue Bolt Pediatric Care's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Blue Bolt Pediatric Care was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.