LESLIE WALICKI (NPI# 1235774092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235774092 |
| Entity Type | Individual |
| Full Name | LESLIE WALICKI |
| Practice Address |
28000 Woodward Ave Ste 100 Royal Oak MI 48067-0961 |
| Practice Telephone | 2487625590 |
| Mailing Telephone | 2487625590 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1497760086 | 05 |
| Street Address |
28000 WOODWARD AVE STE 100 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-0961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346255205 | Healthcall Homecare LLC | Home Health | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2006-07-29 |
| 1407469562 | Batsheva Forta | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-08-28 |
| 1669085320 | Tresi Jolley | Technician/Technologist | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-08-24 |
| 1417586025 | Shelly Ann Reynolds | Licensed Practical Nurse | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-04-06 |
| 1174152789 | Jerry Gordon Carnovsky | Registered Nurse | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-04-06 |
| 1417583238 | Elizabeth Kendall | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-03-13 |
| 1134752272 | Megan Leonatti | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-02-18 |
| 1124651260 | Regan Soriano | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-02-18 |
| 1427693282 | Michelle Schmitt | Behavioral Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-11-15 |
| 1194360651 | Healthcall of Detroit | Assistant Behavior Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| 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 |
|---|---|---|---|---|
| 1932645678 | Elitca Murray | Behavioral Analyst | 1855 Wickham St, Royal Oak, MI 48073-1163 | 2017-01-18 |
| 1760935464 | Madeleine Levin | Behavioral Analyst | 4100 W 13 Mile Rd, Autism Connections, Royal Oak, MI 48073-6653 | 2016-07-28 |
| 1043567290 | Jordan Paul Boudreau | Behavioral Analyst | 918 Forestdale Rd, Royal Oak, MI 48067-1646 | 2012-08-07 |
| 1497760086 | Healthcall of Detroit | Behavioral Analyst | 28000 Woodward Ave, Suite 100, Royal Oak, MI 48067-0960 | 2006-07-30 |
| 1699383513 | Hedgehog Health Inc | Behavioral Analyst | 918 Forestdale Rd, Royal Oak, MI 48067-1646 | 2020-07-16 |
| 1427693282 | Michelle Schmitt | Behavioral Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-11-15 |
| 1194367292 | Jordyn Sebastian | Behavioral Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-10-10 |
| 1255973343 | Anna Angelo | Behavioral Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-10-10 |
| 1013576834 | Gabriella Tedesco | Behavioral Analyst | 28000 Woodward, Suite 100, Royal Oak, MI 48067 | 2019-06-06 |
| 1619535531 | Julia L Key | Behavioral Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-06-05 |
| Find all providers in ROYAL OAK | ||||
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| 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.