Blueprint Autism Services LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BLUEPRINT AUTISM SERVICES LLC

Practice address

8110 M 186
Fife Lake, MI 49633-9733

Phone

(260) 243-2256

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Hilary Heading, LBANPI 1093190175

Title

Owner

Phone

(260) 243-2256

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hilary Heading, BCBA

  • Behavior Analyst
  • Elkhart, IN
  • NPI 1093190175
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1386460269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 M 186",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339733",
            "telephone_number": "260-243-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 M 186",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339733",
            "telephone_number": "260-243-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "HEADING",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-243-2256",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joe Akalis, L.L.P. L.M.S.W. M.A
• Berry Drugs Inc
• Kristen Burgess, HEALTH EDUCATOR
• Fife Lake Area Ambulance Authority
• Fife Lake Area Emergency Rescue Authority
• Hannah Fisher
• Forest Area Health Center PC

• Developmental Disabilities Clinic/Center in Fife Lake, MI
• Providers in Fife Lake, MI by specialty
• Developmental Disabilities Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.