Organization Active NPI

Pediatric Behavior Solutions LLC

  • Behavior Analyst
  • Dearborn, MI
National Provider Identifier
1164156873
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEDIATRIC BEHAVIOR SOLUTIONS LLC
Practice address
23708 Rowe St
Dearborn, MI 48124-1631
Phone
(313) 694-5385
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Nathaniel Paul Schick, BCBA, LBA (MI)NPI 1992294656
Title
Founder
Phone
(313) 757-0635

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

23708 Rowe St
Dearborn, MI 48124-1631

Mailing address

1250 W 14 Mile Rd # 3041
Troy, MI 48083-1030
Phone (313) 757-0635

Other practice location 1

1250 W 14 Mile Rd # 3041
Troy, MI 48083-1030
Phone (313) 757-0635

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nschick@pediatricbehaviorsolutions.com Direct

National Provider Directory

National Provider Directory

Locations

1250 W 14 Mile Rd
#3041
Troy, MI 48083
Phone (313) 757-0635

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1164156873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W 14 MILE RD # 3041",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831030",
            "telephone_number": "313-757-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23708 ROWE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241631",
            "telephone_number": "313-694-5385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 W 14 Mile Rd # 3041",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831030",
            "country_code": "US",
            "telephone_number": "313-757-0635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC BEHAVIOR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "SCHICK",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "313-757-0635",
        "authorized_official_credential": "BCBA, LBA (MI)"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nschick@pediatricbehaviorsolutions.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV, DOC, RTF, DOCX, PDF, JPEG",
            "address_1": "1250 W 14 Mile Rd # 3041",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480831030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.