Active NPI
Toni Wedderburn
- Behavior Analyst
- Dearborn, MI
National Provider Identifier
1861940629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001166
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7401001166 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New 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 | Current | 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.
-
- Behavior Analyst
- Southfield, MI
- NPI 1861232639
-
- Behavior Analyst
- Dearborn, MI
- NPI 1609135748
-
- Behavior Analyst
- Canton, MI
- NPI 1366031288
-
- Community/Behavioral Health Agency
- Livonia, MI
- NPI 1508583584
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.