Lindsey Marie Donovan, BCBA
Individual provider Active NPI Behavior Analyst · Otsego, MI
NPI 1386983377 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1386983377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-12-12324 (MI)
- Practice address
- 115 W Allegan St
Otsego, MI 49078-1115 - Phone
- (269) 808-3440
- NPI assigned
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Community Resources | Behavior Analyst | Past | Accepting new patients |
| Logan Community Resources | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-12324 | MI | Yes |
Addresses
Primary practice location
115 W Allegan St
Otsego, MI 49078-1115
Mailing address
115 W Allegan St
Otsego, MI 49078-1115
Other practice location 1
2001 Niles Ave
Saint Joseph, MI 49085-1614
Phone (269) 983-5833
Other providers in Otsego, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 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.