NPIMap

Organization Active NPI

Inspire Autism LLC

  • Behavior Analyst
  • Novi, MI
National Provider Identifier
1003438052
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INSPIRE AUTISM LLC
Practice address
39525 W 14 Mile Rd Ste 100
Novi, MI 48377-1635
Phone
(248) 417-4237
NPI assigned
May 13, 2020
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Payton Boudreau, BCBA, LBANPI 1194347153
Title
Founder/Cco
Phone
(248) 417-4237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X Primary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

39525 W 14 Mile Rd Ste 100
Novi, MI 48377-1635

Mailing address

39525 W 14 Mile Rd Ste 100
Novi, MI 48377-1635
Phone (248) 417-4237

Other practice location 1

215 W Hazelhurst St
Ferndale, MI 48220-1822
Phone (248) 914-5124

National Provider Directory

National Provider Directory

Locations

7210 N Main St
Ste 200
Clarkston, MI 48346
Phone (248) 625-0372

1535 N Leroy St
Ste A
Fenton, MI 48430

39525 W 14 Mile Rd
Ste 10
Novi, MI 48377

39525 W 14 Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 242-2123

2833 Crooks Rd
Ste 102
Troy, MI 48084

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1003438052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771635",
            "telephone_number": "248-417-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771635",
            "telephone_number": "248-417-4237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W Hazelhurst St",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482201822",
            "country_code": "US",
            "telephone_number": "248-914-5124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRE AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "BOUDREAU",
        "authorized_official_first_name": "PAYTON",
        "authorized_official_title_or_position": "FOUNDER/CCO",
        "authorized_official_telephone_number": "248-417-4237",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.