Organization Active NPI

Kaleidoscope Behavioral Services, LLC

  • Behavior Analyst
  • Ypsilanti, MI
National Provider Identifier
1922971688
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KALEIDOSCOPE BEHAVIORAL SERVICES, LLC
Practice address
7175 Merritt Rd
Ypsilanti, MI 48197-8903
Phone
(734) 277-7072
NPI assigned
Sep 27, 2025
Last updated
Sep 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Authorized official

Name
Mrs. Aubry Dawn Dodge, MS, BCBA, LBANPI 1760771646
Title
Owner, Behavior Consultant
Phone
(734) 277-7072

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

7175 Merritt Rd
Ypsilanti, MI 48197-8903

Mailing address

7175 Merritt Rd
Ypsilanti, MI 48197-8903
Phone (734) 277-7072

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758931200000",
    "number": "1922971688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 MERRITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978903",
            "telephone_number": "734-277-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 MERRITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978903",
            "telephone_number": "734-277-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "AUBRY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER, BEHAVIOR CONSULTANT",
        "authorized_official_telephone_number": "734-277-7072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.