University Pediatricians Autism Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

UNIVERSITY PEDIATRICIANS AUTISM CENTER

Practice address

21600 Novi Rd Ste 800
Novi, MI 48375-5608

Phone

(248) 305-6172

Fax

(248) 305-6202

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark Harrison

Title

Cao

Phone

(313) 745-6911

Specialties & licenses 15

Addresses

Locations

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Allen

  • Behavior Technician
  • Novi, MI
  • NPI 1285487090
  NPD
• Jia Li Alesna Avery

  • Behavior Technician
  • Novi, MI
  • NPI 1740071240
  NPD
• Kelsey Bartlett

  • Behavior Technician
  • Novi, MI
  • NPI 1710790027
  NPD
• Emily Bobo

  • Behavior Technician
  • Novi, MI
  • NPI 1578442950
  NPD
• Lowri Brinsden

  • Behavior Technician
  • Novi, MI
  • NPI 1396616058
  NPD
• Sofia Contreras Cervantes

  • Behavior Technician
  • Novi, MI
  • NPI 1386515658
  NPD
• Gabriel Cosman

  • Behavior Technician
  • Novi, MI
  • NPI 1275427148
  NPD
• Ashley Craig

  • Behavior Technician
  • Novi, MI
  • NPI 1356181713
  NPD
• Domonique Marie Dodge-Souza

  • Behavior Technician
  • Novi, MI
  • NPI 1245001007
  NPD
• Cheyenne Floyd

  • Behavior Technician
  • Novi, MI
  • NPI 1114611076
  NPD
• Abigail Gadomski

  • Behavior Technician
  • Farmington Hills, MI
  • NPI 1134935117
  NPD
• Destiny Denise Grant

  • Behavior Technician
  • Novi, MI
  • NPI 1255141735
  NPD

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1972862902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD STE 800",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755608",
            "telephone_number": "248-305-6172",
            "fax_number": "248-305-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD STE 800",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755608",
            "telephone_number": "248-305-6172",
            "fax_number": "248-305-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PEDIATRICIANS AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "313-745-6911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Novi, MI
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.