Organization Active NPI

The Early Intervention Center

  • Behavior Analyst
  • Southfield, MI
National Provider Identifier
1902135791
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE EARLY INTERVENTION CENTER
Practice address
18300 W 12 Mile Rd
Southfield, MI 48076-2670
Phone
(248) 559-5820
Fax
(248) 559-5822
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kris Rose
Title
Accountant
Phone
(248) 988-9356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

18300 W 12 Mile Rd
Southfield, MI 48076-2670

Mailing address

32500 Telegraph Rd
Suite 209
Bingham Farms, MI 48025-2461
Phone (248) 988-9356

Other names 1

  • The EIC Other name

National Provider Directory

National Provider Directory

Locations

32500 Telegraph Rd
Ste 209
Bingham Farms, MI 48025

18300 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 559-5820

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1902135791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32500 TELEGRAPH RD",
            "address_2": "SUITE 209",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252461",
            "telephone_number": "248-988-9356",
            "fax_number": "248-723-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762670",
            "telephone_number": "248-559-5820",
            "fax_number": "248-559-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EARLY INTERVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "248-988-9356"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The EIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.