Individual provider Active NPI

Breanna Gleesing, M.ED

  • Behavior Analyst
  • Chesterfield, MI
National Provider Identifier
1962999532
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000385 Issued in MI
Practice address
30330 Hickey Rd
Chesterfield, MI 48051-3911
Phone
(586) 421-4062
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 7401000385 MI Primary

Addresses

Primary practice location

30330 Hickey Rd
Chesterfield, MI 48051-3911

Mailing address

44738 Morley Dr
Clinton Township, MI 48036-1357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
7401000385MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Therapeutic Learning and Communication, PLLC Behavior Analyst CurrentSince Mar 12, 2024 Accepting new patients

Locations

30330 Hickey Rd
Chesterfield, MI 48051
Phone (586) 421-4062

44682 Morley Dr
Clinton Twp, MI 48036
Phone (586) 421-4062

44738 Morley Dr
Clinton Twp, MI 48036
Phone (586) 421-4062

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1962999532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44738 MORLEY DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30330 HICKEY RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513911",
            "telephone_number": "586-421-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEESING",
        "first_name": "BREANNA",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "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": "7401000385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.