ASD SMART KIDS (NPI# 1407325145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407325145 |
| Entity Type | Organization |
| Organization Name | ASD SMART KIDS |
| Practice Address |
337 Sylvan Dr Canton MI 48188-1596 |
| Practice Telephone | 3134126451 |
| Mailing Telephone | 3134126451 |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2018-11-23 |
| Authorized Official Name | MICHAEL B CARRAUTHERS. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3134126451 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ASD SMART KIDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| ASD Smart Kids | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518437243 | Asd Smart Kids | Day Training, Developmentally Disabled Services | 337 Sylvan Drive, Canton, MI 48188-4818 | 2018-11-26 |
| Street Address |
337 SYLVAN DR |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324702 | Michael B Carrauthers | Behavioral Analyst | 337 Sylvan Dr, Canton, MI 48188-1596 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| 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 |
|---|---|---|---|---|
| 1831663947 | Samantha Ackerman | Behavioral Analyst | 535 Riverstone Parkway Suite 101, Canton, GA 30114-2566 | 2019-01-11 |
| 1306324702 | Michael B Carrauthers | Behavioral Analyst | 337 Sylvan Dr, Canton, MI 48188-1596 | 2018-07-30 |
| 1669975579 | Bethany Oliver Craig | Behavioral Analyst | 3281 Mills Ridge Dr, Canton, GA 30114-7103 | 2018-03-16 |
| 1801303623 | A New Approach, Pllc | Behavioral Analyst | 1017 Turnpike St Ste 13, Canton, MA 02021-2828 | 2018-01-02 |
| 1487009981 | Deirdre A O'donnell | Behavioral Analyst | 2 Steeplechase Ln, Canton, MA 02021-1748 | 2016-05-03 |
| 1346615424 | Leanne Fontana Mailman | Behavioral Analyst | 16 Spoonwood Dr, Canton, CT 06019-2452 | 2015-12-01 |
| 1437536638 | Amanda Lawyer | Behavioral Analyst | 264 Harvard St, Canton, MI 48188-1025 | 2015-04-27 |
| 1336532969 | Amy Laura Brown | Behavioral Analyst | 140 E Marietta St Ste 301, Canton, GA 30114-3002 | 2015-03-06 |
| 1780081356 | Kendall Behavioral Services LLC | Behavioral Analyst | 5900 N Lilley Rd Ste 104, Canton, MI 48187-3695 | 2014-11-26 |
| 1558790048 | Deborah Hodgdon | Behavioral Analyst | 128 Market Ln, Canton, GA 30114-4547 | 2013-11-05 |
| Find all providers in CANTON | ||||
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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.