BRIANNA PETERSON BACB 1-24-75392
NPI 1164911715
Behavior Analyst in Libertyville, IL

Active since May 08, 2018
854 TECHNOLOGY WAY STE E, LIBERTYVILLE, IL 60048(847) 816-7200 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2025, Jul 31, 2020, May 8, 2018 (3 updates tracked since 2018).

About Brianna Peterson Bacb 1-24-75392 NPPES

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

BRIANNA PETERSON BACB 1-24-75392 (NPI 1164911715) is an individual behavior analyst provider in Libertyville, Illinois, licensed in Illinois (1-24-75392) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1164911715
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameBRIANNA PETERSONCredential: BACB 1-24-75392
Location Address854 TECHNOLOGY WAY STE ELibertyville, IL 60048-5350
Mailing Address1808 Harrison AveMundelein, IL 60060-1062
Sole ProprietorYes
Enumeration DateMay 8, 2018
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1164911715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in IL · 1-24-75392
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 ListedBehavior TechnicianTaxonomy 106S00000X · License 18-48032 (IL)
854 TECHNOLOGY WAY STE E, Libertyville, IL 60048

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assistant Behavior Analyst
854 TECHNOLOGY WAY STE E
LIBERTYVILLE, IL 60048
Behavior Technician
854 TECHNOLOGY WAY STE E
LIBERTYVILLE, IL 60048
Behavior Technician
854 TECHNOLOGY WAY STE E
LIBERTYVILLE, IL 60048

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 Brianna Peterson's NPI number?

The NPI number for Brianna Peterson is 1164911715. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Brianna Peterson located?

Brianna Peterson practices at 854 Technology Way Ste E, Libertyville, IL 60048. The listed phone number is (847) 816-7200.

What is Brianna Peterson'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 Brianna Peterson was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.