Individual provider Active NPI

Cara Michelle Delange, MA, BCBA, LBA

  • Behavior Analyst
  • Grand Rapids, MI
National Provider Identifier
1891143616
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401001201 Issued in MI
Practice address
3361 36TH St SE
Grand Rapids, MI 49512-2809
Phone
(616) 942-2522
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 7401001201 MI Primary

Addresses

Primary practice location

3361 36TH St SE
Grand Rapids, MI 49512-2809

Mailing address

3361 36TH St SE
Grand Rapids, MI 49512-2809
Phone (616) 942-2522

Other practice location 1

11172 Adams St
Holland, MI 49423-9163
Phone (616) 956-3260

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7401001201MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network Behavioral Health Services CurrentSince Jan 29, 2020 Accepting new patients
Hope Network Behavioral Health Services PastSince May 8, 2022 Accepting new patients

Locations

2875 Eyde Pkwy
Ste 100
East Lansing, MI 48823
Phone (517) 512-4320

1256 Walker Ave NW
Grand Rapids, MI 49504
Phone (616) 235-2910

11172 Adams St
Holland, MI 49423
Phone (616) 510-2157

3361 36th St SE
Kentwood, MI 49512
Phone (616) 248-5201

14680 Newburgh Rd
Livonia, MI 48154
Phone (616) 558-5021

Organizations & group practices 2

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1891143616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122809",
            "telephone_number": "616-942-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122809",
            "telephone_number": "616-942-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11172 Adams St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494239163",
            "country_code": "US",
            "telephone_number": "616-956-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANGE",
        "first_name": "CARA",
        "middle_name": "MICHELLE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.