Organization Active NPI

Little Mittens Autism Center PC

  • Behavior Analyst
  • Waterford, MI
National Provider Identifier
1669110268
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LITTLE MITTENS AUTISM CENTER PC
Practice address
2278 Fairport Rd
Waterford, MI 48329-3932
Phone
(248) 505-0948
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Jamie Harris, BCBANPI 1396120028
Title
Bcba
Phone
(248) 505-0948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2278 Fairport Rd
Waterford, MI 48329-3932

Mailing address

2278 Fairport Rd
Waterford, MI 48329-3932
Phone (248) 505-0948

National Provider Directory

National Provider Directory

Locations

24301 Catherine Industrial Dr
Ste 100
Novi, MI 48375

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1669110268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 FAIRPORT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293932",
            "telephone_number": "248-505-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 FAIRPORT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293932",
            "telephone_number": "248-505-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MITTENS AUTISM CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "248-505-0948",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.