Active NPI
Achieve Center of Mi, PLLC
- Behavior Analyst
- Royal Oak, MI
National Provider Identifier
1003675802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ACHIEVE CENTER OF MI, PLLC
- Practice address
- 25600 Woodward Ave Ste 111
Royal Oak, MI 48067-0944 - Phone
- (248) 629-9583
- NPI assigned
- Mar 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yisroel Ball
- Title
- Manager
- Phone
- (248) 629-9583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
25600 Woodward Ave Ste 111
Royal Oak, MI 48067-0944
Mailing address
25600 Woodward Ave Ste 111
Royal Oak, MI 48067-0944
Other names 1
- Achieve Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1003675802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25600 WOODWARD AVE STE 111",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25600 WOODWARD AVE STE 111",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670944",
"telephone_number": "248-629-9583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVE CENTER OF MI, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "BALL",
"authorized_official_first_name": "YISROEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-629-9583"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Achieve Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.