Ellen K Adler, BCBA
Individual provider Active NPI Behavior Analyst · Saint Joseph, MI
NPI 1194149799 · NPPES record last updated Jul 30, 2015
Key facts
- NPI
- 1194149799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-13-14979 (MI)
- Practice address
- 2001 Niles Ave
Saint Joseph, MI 49085-1614 - Phone
- (269) 983-5833
- Fax
- (269) 983-7441
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Community Resources | Behavior Analyst | Past | Accepting new patients |
| Logan Community Resources | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14979 | MI | Yes |
Addresses
Primary practice location
2001 Niles Ave
Saint Joseph, MI 49085-1614
Mailing address
2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone (574) 289-4831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-13-14979 | Other | MI | BCBA |
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- Scott Richard Achramowicz
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- Irene Mizer Adams
- Joseph Obehi Aderemi
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- Advanced Family Eye Care, PC
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All providers in Saint Joseph, MI · Behavior Analyst in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.