SOAR AUTISM CENTER (NPI# 1720557424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720557424 |
| Entity Type | Organization |
| Organization Name | SOAR AUTISM CENTER |
| Practice Address |
4934 Highland Rd Waterford MI 48328-1142 |
| Practice Telephone | 2483796534 |
| Mailing Telephone | 2483796534 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | DRUE ARYN JOSEPH (OWNER) |
| Authorized Official Telephone | 2483796534 |
| Authorized Official Credential | BCBA |
| 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 |
4934 HIGHLAND RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| 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 |
|---|---|---|---|---|
| 1588294409 | Caitlin Rose Nedelcu | Behavioral Analyst | 17 Industrial Dr, Waterford, CT 06385-4010 | 2020-01-20 |
| 1639600943 | Jocelyn Mazyck Brown | Behavioral Analyst | 17 Industrial Drive, Waterford, CT 06385-4010 | 2017-03-27 |
| 1033666797 | Bloom Behavior Consulting Services LLC | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2016-09-09 |
| 1336694272 | Daphne Jones | Behavioral Analyst | 186 Oshawa Cir, Waterford, MI 48328-3240 | 2016-08-21 |
| 1538540604 | Ryan Detloff | Behavioral Analyst | 7182 Black Oak Ct Apt 105, Waterford, MI 48327-4519 | 2015-06-15 |
| 1689071847 | Tammi Mccoy | Behavioral Analyst | 5961 Northridge Cir, Waterford, MI 48327-1872 | 2014-12-03 |
| 1154732782 | Anne Krawczyk | Behavioral Analyst | 106 S Hospital Rd, Waterford, MI 48327-3816 | 2014-05-16 |
| 1639474166 | Megan O'bern | Behavioral Analyst | 186 Butlertown Rd, Waterford, CT 06385-4025 | 2011-01-13 |
| 1013534320 | Brittany Nicole Pearson | Behavioral Analyst | 17 Industrial Dr, Waterford, CT 06385-4010 | 2020-07-02 |
| 1962964874 | Amy Lynn Anderson | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2019-04-01 |
| Find all providers in WATERFORD | ||||
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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.