Exclusions Short List

Exclusions Short List

Exclusions Short List



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List Execution Date: 6/19/2026 1:53:34 AM.
Records returned: .
Data was last updated: 6/19/2026 12:01:09 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
ANDREWS JEFFREY JOHNChief Financial Officer06/08/2026Verify
BLACKBURN EMILYOutpatient Peer Advocate06/01/2026Verify
BROSIUS ADAMDirector/ President06/08/2026Verify
CINTRON REYNALDOMental Health Technician06/01/2026Verify
COLE HAROLD MARTIN00289357Licensed Practical Nurse05/25/2026Verify
EAGLE KIMOYDirect Support Professional 06/15/2026Verify
EKPO OWEN__________Direct Support Professional 06/01/2026Verify
EZ ORTHO SUPPLY INC1538710157Medical Appliance Dealer06/15/2026Verify
FOLEY RICHARD J000056631598897589Physical Therapist05/25/2026Verify
GIBSON RALPH M JR MD002013461972603066Physician05/25/2026Verify
HARDY JEFFREYCounselor06/08/2026Verify
HOLMES SAMANTHASenior Counselor06/15/2026Verify
HUMAD ADITYA SAMEERChief Financial Officer06/15/2026Verify
ILOZUE FRANCES EBELECHUKWU002435301013036706Physician06/15/2026Verify
J LEE PHYSICAL THERAPY PC1528671146Multi- Type Group06/15/2026Verify
JACQUES MACSIMELife Coach06/15/2026Verify
KERZ JONATHAN00013156Licensed Mental Health Counselor05/25/2026Verify
KLEIN RICHARD S001013281376504142Physician06/01/2026Verify
LEE JAEKWAN000414621417512203Physical Therapist06/15/2026Verify
LENT KENNETH GEORGE000482021437201498Licensed Clinical Social Worker06/01/2026Verify
LOUIS-BAPTISTE BRITTNEYDirect Support Professional06/01/2026Verify
MARSON JAY DAVID000351621518174119Licensed Master Social Worker05/25/2026Verify
MAYNARD AURORACounselor06/15/2026Verify
MOGOLLON ROBERT FABIAN000728141003026246Clinical Social Worker06/14/2026Verify
OTTAVIANO PAUL GERARD001901601558409938Physician06/01/2026Verify
SCHNEIDERMAN ROBERTPresident06/15/2026Verify
SHATTUCK JOELDirect Support Professional 05/25/2026Verify
TAUBMAN RICHARD001573061770550691Physician05/25/2026Verify
WILLIAMS CURTISCounselor Aide/Guest Service Specialist05/25/2026Verify
ZARBAILOV ELNAROwner06/15/2026Verify