Individual provider Active NPI

Dawn Rucker

  • Behavior Analyst
  • Westland, MI
National Provider Identifier
1730538646
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401002078 Issued in MI
Practice address
35270 Nankin Blvd Ste 501B
Westland, MI 48185-7221
Phone
(313) 889-8780
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401002078 MI Primary

Addresses

Primary practice location

35270 Nankin Blvd Ste 501B
Westland, MI 48185-7221

Mailing address

35270 Nankin Blvd Ste 501B
Westland, MI 48185-7221
Phone (313) 889-8780

Other practice location 1

1 Heritage Dr Ste 100
Southgate, MI 48195-3047
Phone (734) 767-2250

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7401002078MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Autism Service Behavior Analyst CurrentSince Nov 1, 2023 Accepting new patients

Locations

23131 Michigan Ave
Dearborn, MI 48124
Phone (313) 355-4635

33332 W 12 Mile Rd
#205
Farmington Hills, MI 48334

35270 Nankin Blvd
Ste 501B
Westland, MI 48185
Phone (313) 889-8780

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1730538646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35270 NANKIN BLVD STE 501B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857221",
            "telephone_number": "313-889-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35270 NANKIN BLVD STE 501B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857221",
            "telephone_number": "313-889-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Heritage Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481953047",
            "country_code": "US",
            "telephone_number": "734-767-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.