Irene Banda, M.S. BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

932 N Mitchell St
Cadillac, MI 49601-1285

Phone

(844) 854-1116

NPI assigned

Mar 22, 2019

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acorn Health of Michigan, LLC

  dba Acorn Health

  • Behavior Analyst
  • Traverse City, MI
  • NPI 1558841163
  NPD (past)
• Acorn Health, LLC.

  • Behavior Analyst
  • Coral Gables, FL
  • NPI 1801494679
  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1073073334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011285",
            "telephone_number": "844-854-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "IRENE",
        "credential": "M.S. BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "P63034300169",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baldwin Family Health Care
• Baldwin Family Health Care (Cobb Street Pharmacy)
• Baldwin Family Health Care
• Baldwin Family Health Care (Great Lakes Family Care)
• Jacob James Ballard, MSN, APRN, FNP-C
• Barbara Eileen Barnes, FNP- BC
• Cynthia Marie Barnes, RN
• Erin Barnum, PA-C
• Brijil Kisan Barot, FCCPT
• Sheetal Barot

• Behavior Analyst in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.