Downriver Therapy Associates LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DOWNRIVER THERAPY ASSOCIATES LLC

Doing business as

Success On The Spectrum, Trenton

Practice address

3701 West Rd
Trenton, MI 48183-2251

Phone

(734) 624-3467

NPI assigned

Mar 27, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shallu Bhanot

Title

Owner

Phone

(734) 624-3467

Specialties & licenses 3

Addresses

Other names 1

• Success On The Spectrum, Trenton Doing business as

Locations

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1376246454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832251",
            "telephone_number": "734-624-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832251",
            "telephone_number": "734-624-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "BHANOT",
        "authorized_official_first_name": "SHALLU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-624-3467"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success On The Spectrum, Trenton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kimberley Jo Drain, NCMT
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• Michael Ducato, MD
• Danielle Elizabeth Duckett, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.