Active NPI
Empowered Behavior Collective LLC
- Behavior Analyst
- Grand Haven, MI
National Provider Identifier
1689413353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- EMPOWERED BEHAVIOR COLLECTIVE LLC
- Practice address
- 1214 Pennoyer Ave
Grand Haven, MI 49417-1938 - Phone
- (248) 659-2837
- NPI assigned
- May 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Elias, M.ED., BCBA, LBA
- Title
- Owner
- Phone
- (616) 607-6884
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1214 Pennoyer Ave
Grand Haven, MI 49417-1938
Mailing address
1214 Pennoyer Ave
Grand Haven, MI 49417-1938
Phone (248) 659-2837
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Bingham Farms, MI
- NPI 1114445673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1689413353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 PENNOYER AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171938",
"telephone_number": "248-659-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 PENNOYER AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171938",
"telephone_number": "248-659-2837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED BEHAVIOR COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "ELIAS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-607-6884",
"authorized_official_credential": "M.ED., BCBA, LBA"
},
"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 Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.