Michael Brooks
Individual provider Active NPI Behavior Analyst · Mt Pleasant, MI
NPI 1376093336 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1376093336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7401000567 (MI)
- Practice address
- 1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001 - Phone
- (989) 774-3904
- Fax
- (989) 774-1891
- NPI assigned
- Oct 13, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401000567 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Plus Healthcare Services LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Analyst | 103K00000X | 7401000567 | MI | Yes |
Addresses
Primary practice location
1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001
Mailing address
1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001
Phone (989) 774-3904
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-16-7268 | Other | MI | BCABA |
Other providers in Mt Pleasant, MI
- Christopher M Brink
- Michelle Marie Brockington
- Alexander James Bromm
- Tessa Jo Bronner
- Whitney Lu Brooks-Huntoon
- Christina M Broomfield
- Matthew Brotherton
- Nicholas Brough
- Kathryn Brown
- Lauren Brown
All providers in Mt Pleasant, 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 Dec 11, 2023. 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.