Southeast Michigan ABA Associates

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOUTHEAST MICHIGAN ABA ASSOCIATES

Practice address

43475 Dalcoma Dr Ste 210
Clinton Township, MI 48038-3593

Phone

(248) 410-7677

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Shivam Vyas

Title

Ceo

Phone

(248) 410-7677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1639894942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 WYNGATE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986545",
            "telephone_number": "248-410-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 210",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "248-410-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MICHIGAN ABA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "SHIVAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-410-7677"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.