NPIMap

Organization Active NPI

Behavior Analysts of West Michigan, LLC

  • Community/Behavioral Health Agency
  • Walker, MI
National Provider Identifier
1487035879
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8101210408 Issued in MI
Legal business name
BEHAVIOR ANALYSTS OF WEST MICHIGAN, LLC
Practice address
2142 3 Mile Rd NW
Walker, MI 49544-1452
Phone
(616) 915-2066
Fax
(616) 608-7519
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Marjorie Hayward, M.ED, BCBANPI 1316293236
Title
Behavior Analyst
Phone
(616) 915-2066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8101210408 MI Primary

Addresses

Primary practice location

2142 3 Mile Rd NW
Walker, MI 49544-1452

Mailing address

2142 3 Mile Rd NW
Walker, MI 49544-1452
Phone (616) 915-2066

National Provider Directory

National Provider Directory

Locations

3350 East Paris Ave SE
Kentwood, MI 49512
Phone (616) 550-5860

2142 3 Mile Rd NW
Walker, MI 49544
Phone (616) 915-2066

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1487035879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 3 MILE RD NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495441452",
            "telephone_number": "616-915-2066",
            "fax_number": "616-608-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 3 MILE RD NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495441452",
            "telephone_number": "616-915-2066",
            "fax_number": "616-608-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR ANALYSTS OF WEST MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "616-915-2066",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "8101210408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.