Organization Active NPI

Behavioral Learning Solutions, LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1154871671
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096395 Issued in MI
Legal business name
BEHAVIORAL LEARNING SOLUTIONS, LLC
Practice address
916 Fuller St
Suite 2
Ann Arbor, MI 48104-1215
Phone
(732) 213-1006
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Daniella Simon, LMSW, MPH, BCBANPI 1245522762
Title
Owner
Phone
(732) 213-1006

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-14-15924 MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801096395 MI Primary

Addresses

Primary practice location

916 Fuller St
Suite 2
Ann Arbor, MI 48104-1215

Mailing address

2030 Belmont St
Hamtramck, MI 48212-3286
Phone (732) 213-1006

National Provider Directory

National Provider Directory

Locations

916 Fuller St
Ste 2
Ann Arbor, MI 48104
Phone (732) 213-1006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1154871671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BELMONT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123286",
            "telephone_number": "732-213-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 FULLER ST",
            "address_2": "SUITE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041215",
            "telephone_number": "732-213-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL LEARNING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-213-1006",
        "authorized_official_credential": "LMSW, MPH, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-14-15924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.