SPECTRUM AUTISM CENTER LLC (NPI# 1275916363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275916363 |
| Entity Type | Organization |
| Organization Name | SPECTRUM AUTISM CENTER LLC |
| Practice Address |
3949 N River Rd Freeland MI 48623-8856 |
| Practice Telephone | 9897022082 |
| Practice Fax Number | 9893551398 |
| Mailing Telephone | 9897022082 |
| Mailing Fax Number | 9893551398 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | LEASA ANDROL (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9897022082 |
| Authorized Official Credential | MA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-1416719 | Behavioral Health & Social Service Providers |
| Street Address |
3949 N RIVER RD |
| City | FREELAND |
| State | MI |
| Zip Code | 48623-8856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815853 | Donald William Earley | Occupational Therapist | 3949 N River Rd, Freeland, MI 48623-8856 | 2005-07-14 |
| 1538720099 | Tyric Allen Clark | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2019-06-25 |
| 1780244236 | May Lynn Ahrens | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2019-06-17 |
| 1427618263 | Aubrey Rittmueller | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2019-06-14 |
| 1992360465 | Raquel O'connor | Behavioral Analyst | 3949 N River Rd, Freeland, MI 48623-8856 | 2019-05-09 |
| 1841729704 | Eryn Donnellon | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2017-06-05 |
| 1225566342 | Emily Brianne Johnson | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2017-06-02 |
| 1861920993 | Amanda Marie Reed | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2017-06-02 |
| 1255869384 | Rachel Ann Vanwormer | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2017-06-02 |
| 1992233027 | Chandler Dicken Hall | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2017-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922385707 | Renue 001 Freeland LLC | Physical Therapist | 7329 Industrial Drive, Freeland, MI 48623 | 2011-11-08 |
| 1326291808 | James L Jones Jr. | Counselor | 6840 Midland Rd, Dot Caring Centers, Inc, Freeland, MI 48623 | 2008-10-29 |
| 1134306046 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 5694 Midland Road, Freeland, MI 48623 | 2008-01-23 |
| 1164406146 | Walter Thad Rathkamp | Family Medicine | 7340 Midland Rd, Freeland, MI 48623 | 2005-12-02 |
| 1336521913 | Joshua Arun Buskirk | Nurse Practitioner | 9625 Pierce Rd, Saginaw Regional Correctional Facility, Freeland, MI 48623 | 2015-06-19 |
| 1245284124 | Kenneth M Mackinnon | Family Medicine | 5694 Midland Rd, Freeland, MI 48623 | 2006-05-22 |
| 1295715993 | Ralph Brooks Barthel | Dentist | 143 South First St., Freeland, MI 48623-0219 | 2006-01-19 |
| 1326150848 | Timothy Leston Spink | Chiropractor | 135 E Washington Street, Freeland, MI 48623-0460 | 2006-08-31 |
| 1154596476 | Nancy Chin | Counselor | 6840 Midland Rd., Freeland, MI 48623-2329 | 2008-04-28 |
| 1427478825 | Charlie K Enterprises, Inc | In Home Supportive Care | 143 S 1st St Ste B, Freeland, MI 48623-2500 | 2014-04-24 |
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| 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 |
|---|---|---|---|---|
| 1639442270 | Tareyn Norcross | Behavioral Analyst | 11375 August Ln, Freeland, MI 48623-8442 | 2012-02-13 |
| 1992360465 | Raquel O'connor | Behavioral Analyst | 3949 N River Rd, Freeland, MI 48623-8856 | 2019-05-09 |
| 1497292957 | Ashley Alexander | Behavioral Analyst | 3949 N River Rd, Freeland, MI 48623-8856 | 2017-01-23 |
| 1700329547 | Bethany Cowart | Behavioral Analyst | 3949 N River Rd, Freeland, MI 48623-8856 | 2016-11-28 |
| 1205243748 | Leasa Androl | Behavioral Analyst | 3949 N River Rd, Freeland, MI 48623-8856 | 2014-07-16 |
| 1396160305 | Timothy Obertein | Behavioral Analyst | 3949 N River Rd, Freeland, MI 48623-8856 | 2014-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930905 | Fatima Alkassir Othman | Behavioral Analyst | 4164 Westover Dr, West Bloomfield, MI 48323-2867 | 2020-10-23 |
| 1659970572 | Budding Behavior Therapy | Behavioral Analyst | 33923 Ryan Rd, Sterling Heights, MI 48310-6304 | 2020-10-21 |
| 1033726229 | Proud Moments Aba of Michigan Pllc | Behavioral Analyst | 25129 Pierce St, Southfield, MI 48075-2019 | 2020-09-30 |
| 1366058141 | Michigan Learning Community, LLC | Behavioral Analyst | 2704 Radcliffe Ave, Ann Arbor, MI 48104-6544 | 2020-09-17 |
| 1184239279 | Roopa Singh | Behavioral Analyst | 10751 S Saginaw St Ste E, Grand Blanc, MI 48439-8169 | 2020-09-15 |
| 1467064691 | Kaitlyn Jewel Tuttle | Behavioral Analyst | 2535 Hagley Rd, Standish, MI 48658-9148 | 2020-08-19 |
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1194333542 | Nation of Wonders Inclusive Education | Behavioral Analyst | 19211 Beech Daly Rd, Redford, MI 48240-1418 | 2020-07-21 |
| 1184242216 | Brittany O'grady | Behavioral Analyst | 2314 Helen Ave Ste 100, Portage, MI 49002-1684 | 2020-07-06 |
| 1669098588 | Kiernan Mae Doud | Behavioral Analyst | 2305 Hawthorn Dr Ste A, Mt Pleasant, MI 48858-1202 | 2020-06-17 |
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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.