Dreamworks Behavioral Health Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DREAMWORKS BEHAVIORAL HEALTH SERVICES LLC

Practice address

17554 Tracey St
Detroit, MI 48235-2634

Phone

(248) 469-9422

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Tyeasha Williams, M.ED., BCBA, LBANPI 1508304445

Title

Clinical Director

Phone

(248) 469-9422

Specialties & licenses 1

Addresses

Tax ID family

Dreamworks Behavioral Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dreamworks Behavioral Health Services LLC

  • Group Psychotherapy Psychologist
  • Detroit, MI
  • NPI 1912596958
  NPD tax ID

Practitioners 1

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

• Tyeasha Williams, M. ED., BCBA

  • Behavior Analyst
  • Plymouth, MI
  • NPI 1508304445
  NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1205459385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17554 TRACEY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352634",
            "telephone_number": "248-469-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17554 TRACEY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352634",
            "telephone_number": "248-469-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWORKS BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TYEASHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-469-9422",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Nicole Draw
• Crystal Drayton
• Lawanda Drayton
• Joel Thomas Drazin, MD
• Dreamtek Youth Inc
• Dreamworks Behavioral Health Services LLC
• Michael Paul Dreis
• Michael Alphonso Drew LPN, LPN
• Jessica Lynn Driscoll, RN
• Lavonne Driver

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.