NPIMap

Organization Active NPI

R.E.a.L. Results Autism Center LLC

  • Community/Behavioral Health Agency
  • Wyoming, MI
National Provider Identifier
1902673080
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
R.E.A.L. RESULTS AUTISM CENTER LLC
Practice address
244 Burt St SE
Wyoming, MI 49548-3236
Phone
(269) 366-9554
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Lauren SelbyNPI 1740050558
Title
Behavior Technician
Phone
(616) 283-5106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

244 Burt St SE
Wyoming, MI 49548-3236

Mailing address

244 Burt St SE
Wyoming, MI 49548-3236

National Provider Directory

National Provider Directory

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": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1902673080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BURT ST SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495483236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 BURT ST SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495483236",
            "telephone_number": "269-366-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E.A.L. RESULTS AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "616-283-5106"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.