PROUD MOMENTS ABA OF MICHIGAN PLLC (NPI# 1033726229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033726229 |
| Entity Type | Organization |
| Organization Name | PROUD MOMENTS ABA OF MICHIGAN PLLC |
| Practice Address |
25129 Pierce St Southfield MI 48075-2019 |
| Mailing Address |
1449 37th St Ste 100 Brooklyn NY 11218-4381 |
| Practice Telephone | 7182155311 |
| Mailing Telephone | 7182155311 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | PATTY BUIOCCHI (COO) |
| Authorized Official Telephone | 7182155311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
25129 PIERCE ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235676107 | Milan Ramsey | Behavioral Analyst | 25820 Southfield Rd Ste 201, Southfield, MI 48075-1828 | 2017-01-30 |
| 1366996779 | Joycelyn Michelle Dier | Behavioral Analyst | 25111 Grodan Dr, Apt. 236, Southfield, MI 48033-2529 | 2016-08-15 |
| 1588034276 | Robert Payne | Behavioral Analyst | 30559 Fairfax St, Please Select Unit Type, Southfield, MI 48076 | 2015-10-07 |
| 1508262478 | Tzpiora Schwartz | Behavioral Analyst | 15599 Agnew Pl, Southfield, MI 48075 | 2014-11-05 |
| 1356783401 | Megan J Lowell | Behavioral Analyst | 30233 Southfield Rd Ste 100, Southfield, MI 48076-1362 | 2013-07-17 |
| 1902135791 | The Early Intervention Center | Behavioral Analyst | 18300 W 12 Mile Rd, Southfield, MI 48076-2670 | 2009-12-08 |
| 1881231363 | Aleta Renee Kidd | Behavioral Analyst | 30233 Southfield Rd, Southfield, MI 48076-1304 | 2019-12-04 |
| 1386112266 | Sarah E Fortier | Behavioral Analyst | 30503 Greenfield Rd, Southfield, MI 48076-1594 | 2018-11-08 |
| 1376028449 | Chelsea Tolman | Behavioral Analyst | 30503 Greenfield Rd, Southfield, MI 48076-1594 | 2018-09-25 |
| 1043732068 | Brittany Michelle Schwanke | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2017-07-11 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on PROUD MOMENTS ABA OF MICHIGAN PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.