Michelle Busken

Individual provider Active NPI Behavior Analyst · Howard City, MI

NPI 1669962874 · NPPES record last updated Jul 29, 2024

Key facts

NPI
1669962874
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
7401002409 (MI)
Practice address
214 S Ensley St
Howard City, MI 49329-7606
Phone
(267) 300-4857
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7401002409MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Behavioral Solutions LLC Behavior Analyst Current Accepting new patients

Locations

625 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (231) 519-8300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401002409 MI Yes

Addresses

Primary practice location

214 S Ensley St
Howard City, MI 49329-7606

Mailing address

214 S Ensley St
Howard City, MI 49329-7606

Other providers in Howard City, MI

All providers in Howard City, MI · Behavior Analyst in Michigan

Sources for this page

Verify at the official NPI Registry.