Soar Autism Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOAR AUTISM CENTER

Practice address

4934 Highland Rd
Waterford, MI 48328-1142

Phone

(248) 379-6534

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Drue Aryn Joseph, BCBANPI 1346768629

Title

Owner

Phone

(248) 379-6534

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Drue Aryn Joseph

  • Behavior Analyst
  • Waterford, MI
  • NPI 1346768629
  NPD Authorized official
• Grace Karen Mailing, MS, BCBA, LBA

  • Behavior Analyst
  • Waterford, MI
  • NPI 1437837549
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1720557424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281142",
            "telephone_number": "248-379-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281142",
            "telephone_number": "248-379-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "DRUE",
        "authorized_official_middle_name": "ARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-379-6534",
        "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": []
}

• Julie Smith
• Karen E Smith, P.T.
• Mark Allen Smith, DDS
• Angela Sniecinski, LMSW, CADC, QMHP
• Hayk Snkhtchyan
• Laura Ann Soli, LMSW
• Li Song, NP
• Jennifer Lynn Sovis, NP
• Bailey Elizabeth Speakman, LLMSW
• Specialist Rehab Services Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.