Active NPI
Terra Behavior Therapy Center for Autism
- Behavior Analyst
- Livonia, MI
National Provider Identifier
1306649678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- TERRA BEHAVIOR THERAPY CENTER FOR AUTISM
- Practice address
- 30150 Plymouth Rd
Livonia, MI 48150-2100 - Phone
- (313) 528-8476
- NPI assigned
- Mar 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Elkhalil
- Title
- Owner
- Phone
- (305) 926-0111
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
30150 Plymouth Rd
Livonia, MI 48150-2100
Mailing address
30150 Plymouth Rd
Livonia, MI 48150-2100
Phone (313) 528-8476
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1023531456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1306649678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30150 PLYMOUTH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502100",
"telephone_number": "313-528-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30150 PLYMOUTH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502100",
"telephone_number": "313-528-8476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRA BEHAVIOR THERAPY CENTER FOR AUTISM",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-29",
"status": "A",
"authorized_official_last_name": "ELKHALIL",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-926-0111"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.