Intellistars ABA Mi

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INTELLISTARS ABA MI

Practice address

418 N Main St FL 1
Royal Oak, MI 48067-1813

Phone

(248) 770-3658

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Miriam Greenwald, MSED

Title

Chief Caring Officer

Phone

(248) 770-3658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1285324319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BOULEVARD OF AMERICAS STE 109",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014788",
            "telephone_number": "248-770-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST FL 1",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671813",
            "telephone_number": "248-770-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLISTARS ABA MI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CHIEF CARING OFFICER",
        "authorized_official_telephone_number": "248-770-3658",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Royal Oak, MI
• Providers in Royal Oak, 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 11, 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.