Rachael Marie Emmendorfer, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000560 Issued in MI

Practice address

6625 Daly Rd
West Bloomfield, MI 48322-3410

Phone

(248) 737-3430

Fax

(248) 737-3433

NPI assigned

Jan 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Rachael Marie McManaman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Kaufman Childrens Center for Speech Language Sensory Motor Soc Connect

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  • West Bloomfield, MI
  • NPI 1801011812
  NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  NPD (past)
• Kaufman Children'S Center

  • Behavior Analyst
  • West Bloomfield, MI
  • NPI 1366877318
  NPD (past)
• Key Steps ABA Therapy, LLC

  • Behavior Analyst
  • Lake Orion, MI
  • NPI 1184218349
  NPD (past)
• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1962740225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N WEBIK AVE",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 DALY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223410",
            "telephone_number": "248-737-3430",
            "fax_number": "248-737-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMENDORFER",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MCMANAMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel Ellerbee
• Burton Ellis
• Lara Elizabeth Elmblad, M.S., CCC-SLP
• Embrace Home Health Care Inc
• Embracing Life Counseling, LLC
• Empowered to Change Therapy PLLC
• Empowering Serenity & Guidance , PLLC
• Empowering Serenity & Guidance , PLLC
• Enchanted Angels, LLC
• Encompass Health Care

• Behavior Analyst in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.