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NPI 1770907651 · live from the CMS NPI Registry

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Behavior Analyst in Westland, MI. National Provider Identifier 1770907651, active.

NPI record

NPI1770907651 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location28303 Joy Rd, Westland, MI 48185
Practice phone734-458-8729
Mailing address318 Nancy Lynn Ln Ste 18&21, Knoxville, TN 37919
EnumeratedFebruary 12, 2014
Last updatedAugust 13, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X775 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.