Realite Lanice Peebles, LBA, BCBA is a
Behavior Analyst based in Grand Rapids, Michigan. Realite Lanice Peebles is licensed to practice in * (Not Available) (license number ) and her current practice location is
3292 N Evergreen Dr Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 455-5000.
NPI number for Realite Lanice Peebles is 1255985008 and her current mailing address is 300 68th St Se, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255985008.
Healthcare Provider's Profile
| Full Name | Realite Lanice Peebles |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 3292 N Evergreen Dr Ne, Grand Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255985008
- Provider Enumeration Date: 07/30/2019
- Last Update Date: 09/22/2025
Medical Identifiers
Medical identifiers for Realite Lanice Peebles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255985008 | NPI | - | NPPES |
| 247200000X | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Realite Lanice Peebles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Realite Lanice Peebles, LBA, BCBA 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Realite Lanice Peebles, LBA, BCBA 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 455-5000 |
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