BLUE DIAMOND ABA SERVICES LLC (NPI# 1699300228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699300228 |
| Entity Type | Organization |
| Organization Name | BLUE DIAMOND ABA SERVICES LLC |
| Practice Address |
102 North Avenue Mt. Clemens MI 48043 |
| Practice Telephone | 3132373938 |
| Mailing Telephone | 3132373938 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MRS. OMOTOLA O. OLUWOLE (CEO) |
| Authorized Official Telephone | 3132473938 |
| Authorized Official Credential | BCBCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
102 NORTH AVENUE |
| City | MT. CLEMENS |
| State | MI |
| Zip Code | 48043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| 1093837791 | Anne M. Venet | Counselor | 43565 Elizabeth Road, Mt.clemens, MI 48043 | 2007-04-04 |
| Find all providers in zip 48043 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MT. CLEMENS |
| Zip Code | 48043 |
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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.