Laura Bates, BCBA
Individual provider Active NPI Behavior Analyst · Alpena, MI
NPI 1790459147 · NPPES record last updated Mar 11, 2022
Key facts
- NPI
- 1790459147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7401001499 (MI)
- Practice address
- 314 E Chisholm St
Alpena, MI 49707-2876 - Phone
- (989) 278-8878
- NPI assigned
- Aug 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401001499 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Behavioral Respite Inc. | Current |
Accepting new patients | |
| ABA Pathways, LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401001499 | MI | Yes |
Addresses
Primary practice location
314 E Chisholm St
Alpena, MI 49707-2876
Mailing address
PO Box 663
Lakeland, MI 48143-0663
Phone (810) 599-2129
Other names
- Laura Daily
Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.