Organization Active NPI

Therapy Core, LLC

Doing business as Momentum Autism Therapy Services

  • Behavior Analyst
  • Belleville, MI
National Provider Identifier
1447709548
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THERAPY CORE, LLC
Doing business as
Momentum Autism Therapy Services
Practice address
42861 Stratford Dr
Belleville, MI 48111-1729
Phone
(248) 919-8627
NPI assigned
Sep 30, 2016
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Landria Green, BCBA
Title
President
Phone
(248) 919-8627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101000784 MI
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

42861 Stratford Dr
Belleville, MI 48111-1729

Mailing address

42861 Stratford Dr
Belleville, MI 48111-1729
Phone (248) 919-8627

Other names 1

  • Momentum Autism Therapy Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1447709548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42861 STRATFORD DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481111729",
            "telephone_number": "248-919-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42861 STRATFORD DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481111729",
            "telephone_number": "248-919-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LANDRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-919-8627",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000784",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Autism Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.