Active NPI
Claudia Riddell, BCBA
- Behavior Analyst
- Westland, MI
National Provider Identifier
1750705562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-11752
- Practice address
- 36500 Ford Rd
Unit 229
Westland, MI 48185-3769 - Phone
- (866) 752-0899
- Fax
- (203) 604-0602
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-11752 | IL | Primary |
Addresses
Primary practice location
36500 Ford Rd
Unit 229
Westland, MI 48185-3769
Mailing address
36500 Ford Rd
Unit 229
Westland, MI 48185-3769
Phone (866) 752-0899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-12-11752 | Other | IL | BOARD CERTIFIED BEHAVIOR ANALYST-BCBA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1750705562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36500 FORD RD",
"address_2": "UNIT 229",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481853769",
"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": "36500 FORD RD",
"address_2": "UNIT 229",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481853769",
"telephone_number": "866-752-0899",
"fax_number": "203-604-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDELL",
"first_name": "CLAUDIA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-12-11752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST-BCBA",
"identifier": "1-12-11752",
"state": "IL"
}
],
"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 Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.