Active NPI
The Early Intervention Center
- Behavior Analyst
- Southfield, MI
National Provider Identifier
1902135791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Analyst
- Southfield, MI
- NPI 1245574946
-
- Speech-Language Pathologist
- Dearborn Heights, MI
- NPI 1073857843
Behavior Analyst
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.