North Oakland Autism Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-14122 Issued in MI

Legal business name

NORTH OAKLAND AUTISM CENTER, LLC

Practice address

824 Heather Lake Dr
Clarkston, MI 48348-3648

Phone

(248) 895-2047

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Susan Ruffini, MA, BCBA

Title

Board Certified Behavioral Analysis

Phone

(248) 895-2047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1497179279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 HEATHER LAKE DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483648",
            "telephone_number": "248-895-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 HEATHER LAKE DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483648",
            "telephone_number": "248-895-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND AUTISM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "RUFFINI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIORAL ANALYSIS",
        "authorized_official_telephone_number": "248-895-2047",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-13-14122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.