NPIMap

Organization Active NPI

Michaelleb ABA and Consultation Services

  • Behavior Analyst
  • Roseville, MI
National Provider Identifier
1487276804
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MICHAELLEB ABA AND CONSULTATION SERVICES
Practice address
25147 Fortuna St
Roseville, MI 48066-3795
Phone
(260) 348-2696
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Michaelle Berry, LBANPI 1366990335
Title
Bcba
Phone
(260) 348-2696

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

25147 Fortuna St
Roseville, MI 48066-3795

Mailing address

3591 Lakepointe St
Detroit, MI 48224-3317

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1487276804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 LAKEPOINTE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 FORTUNA ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663795",
            "telephone_number": "260-348-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELLEB ABA AND CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MICHAELLE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "260-348-2696",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.