Individual provider Active NPI

Toni Wedderburn

  • Behavior Analyst
  • Dearborn, MI
National Provider Identifier
1861940629
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401001166 Issued in MI
Practice address
23663 Park St
Dearborn, MI 48124-2547
Phone
(248) 299-0030
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 7401001166 MI Primary

Addresses

Primary practice location

23663 Park St
Dearborn, MI 48124-2547

Mailing address

11854 Kennebec St
Detroit, MI 48205-5202
Phone (313) 278-4601

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
7401001166MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Top of the Chain Behavioral Health Solutions LLC Behavior Analyst Current Accepting new patients
Tola Integration Services LLP Behavior Analyst Current Accepting new patients
Chitter Chatter P.C. Behavior Analyst CurrentSince Dec 21, 2025 Accepting new patients
Alternative Behaviors LLC Past Accepting new patients

Locations

23663 Park St
Dearborn, MI 48124
Phone (313) 913-5188

2086 S Custer Rd
Monroe, MI 48161
Phone (734) 682-5174

Organizations & group practices 4

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1861940629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11854 KENNEBEC ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482055202",
            "telephone_number": "313-278-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23663 PARK ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242547",
            "telephone_number": "248-299-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDERBURN",
        "first_name": "TONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.