Organization Active NPI

Kidology Institute

  • Behavior Analyst
  • Canton, MI
National Provider Identifier
1295470474
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDOLOGY INSTITUTE
Practice address
5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680
Phone
(248) 800-2928
Fax
(248) 800-7272
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Dr. Manal Chehadeh, MD
Title
Medical Director
Phone
(734) 987-4875

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680

Mailing address

5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680
Phone (734) 987-4875

National Provider Directory

National Provider Directory
Tax ID family
Kidology2 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.

Locations

7272 N Sheldon Rd
Ste 202
Canton, MI 48187

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1295470474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 180",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872680",
            "telephone_number": "734-987-4875",
            "fax_number": "734-328-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 180",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872680",
            "telephone_number": "248-800-2928",
            "fax_number": "248-800-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "CHEHADEH",
        "authorized_official_first_name": "MANAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-987-4875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.