Organization Active NPI

Wayne County Associates LLC

  • Behavior Analyst
  • Southgate, MI
National Provider Identifier
1609689488
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WAYNE COUNTY ASSOCIATES LLC
Practice address
18900 Eureka Rd
Southgate, MI 48195-2985
Phone
(734) 624-3467
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Shallu Bhanot
Title
Ceo
Phone
(734) 624-3467

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X
Hearing and Speech Clinic/Center 261QH0700X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

18900 Eureka Rd
Southgate, MI 48195-2985

Mailing address

18900 Eureka Rd
Southgate, MI 48195-2985
Phone (734) 624-3467

Other names 1

  • SUCCESS ON THE SPECTRUM, SOUTHGATE Doing business as

National Provider Directory

National Provider Directory

Locations

18900 Eureka Rd
Southgate, MI 48195
Phone (734) 324-0996

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1609689488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18900 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952985",
            "telephone_number": "734-624-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952985",
            "telephone_number": "734-624-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BHANOT",
        "authorized_official_first_name": "SHALLU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-624-3467"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUCCESS ON THE SPECTRUM, SOUTHGATE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.