Michigan Applied Behavior Analysis LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MICHIGAN APPLIED BEHAVIOR ANALYSIS LLC

Practice address

220 W Congress St FL 2
#873
Detroit, MI 48226

Phone

(313) 403-2344

NPI assigned

Apr 21, 2025

Last updated

Apr 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Issac Wieder

Title

Ceo

Phone

(313) 403-2344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1487441879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W CONGRESS ST FL 2",
            "address_2": "#873",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CONGRESS ST FL 2",
            "address_2": "#873",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48226",
            "telephone_number": "313-403-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN APPLIED BEHAVIOR ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-403-2344"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.