Landria M Seals Green

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

29240 Buckingham St
Suite 5
Livonia, MI 48154-4575

Phone

(866) 752-0899

Fax

(203) 604-0602

NPI assigned

Dec 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Landria M Seals Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SLC Therapy, P.C.

  • Behavior Analyst
  • Livonia, MI
  • NPI 1396170130
  NPD (past) Authorized official
• Excel Prep

  dba Excel Prep Learning Center

  • Speech-Language Pathologist
  • Champaign, IL
  • NPI 1730869629
  NPD
• SLC Therapy

  • Behavior Analyst
  • Westland, MI
  • NPI 1134436561
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1679876676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36500 FORD ROAD",
            "address_2": "#229",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185",
            "telephone_number": "866-752-0899",
            "fax_number": "203-604-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST",
            "address_2": "SUITE 5",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "866-752-0899",
            "fax_number": "203-604-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS GREEN",
        "first_name": "LANDRIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003069",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANDRIA",
            "last_name": "SEALS",
            "middle_name": "M",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikeisha Scott
• Phyllis J Scripsick, MA, LPC, NCC, LBSW
• Lois Onerva Sczomak, REGISTERED DIETITIAN
• Crisslyn Seabrooks
• Lauren Seale
• Kimberly Seaman
• Deepak Sebastian, DPT
• Jordyn Sebastian, SLP
• Vanita Seed
• Kristoffer Adam Seelbach, M.D.

• Behavior Analyst in Livonia, MI
• Providers in Livonia, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.