Individual provider Active NPI

Erika Joyclyn Marie Ahmad, M.ED, BCBA

  • Behavior Analyst
  • Redford, MI
National Provider Identifier
1629544382
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-32051 Issued in NU
Practice address
Nation of Wonders Inclusive Education
19211 Beech Daly
Redford, MI 48420
Phone
(313) 766-4020
NPI assigned
Oct 22, 2018
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-32051 NU Primary

Addresses

Primary practice location

Nation of Wonders Inclusive Education
19211 Beech Daly
Redford, MI 48420

Mailing address

19211 Beech Daly Rd
Redford, MI 48240-1418
Phone (313) 766-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Breakthroughs Behavior Analyst CurrentSince Aug 2, 2020 Accepting new patients
Spectrum Therapy Center, Inc. Behavior Analyst Past Accepting new patients
Total Spectrum, LLC Behavior Analyst PastSince Sep 1, 2019 Accepting new patients

Locations

19211 Beech Daly Rd
Redford, MI 48240
Phone (313) 766-4020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1629544382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19211 BEECH DALY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401418",
            "telephone_number": "313-766-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NATION OF WONDERS INCLUSIVE EDUCATION",
            "address_2": "19211 BEECH DALY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48420",
            "telephone_number": "313-766-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "ERIKA",
        "middle_name": "JOYCLYN MARIE",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-18-32051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.