ELYSE WISEMAN BRADFORD (NPI# 1093090359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093090359 |
| Entity Type | Individual |
| Full Name | ELYSE WISEMAN BRADFORD |
| Credential | BCBA |
| Practice Address |
400 Renaissance Ctr Suite 2600 Detroit MI 48243-1502 |
| Practice Telephone | 8558326727 |
| Practice Fax Number | 7726759100 |
| Mailing Telephone | 8558326727 |
| Mailing Fax Number | 7726759100 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1118442 | MI | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 6301014952 | MI | Behavioral Health & Social Service Providers |
| Street Address |
400 RENAISSANCE CTR SUITE 2600 |
| City | DETROIT |
| State | MI |
| Zip Code | 48243-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393031 | Danielle Davis | Behavior Technician | 400 Renaissance Ctr, Detroit, MI 48243-1502 | 2020-07-22 |
| 1699310698 | Aubrey M Smiley | Counselor | 400 Renaissance Ctr, Detroit, MI 48243-1502 | 2019-11-13 |
| 1881135366 | Natasha Harris | Chore Provider | 400 Renaissance Ctr, Ste 2600, Detroit, MI 48243-1502 | 2017-03-16 |
| 1528418969 | On Time Home Care | Home Health | 400 Renaissance Ctr, Detroit, MI 48243-1502 | 2016-06-16 |
| 1396112512 | Open Hands Home Care | In Home Supportive Care | 400 Renaissance Ctr, Detroit, MI 48243-1502 | 2015-08-24 |
| 1801291406 | Chelsea Gesselman | Behavioral Analyst | 400 Renaissance Ctr, Suite 2600, Detroit, MI 48243-1502 | 2014-10-27 |
| 1356742332 | Optimal Life Home Healthcare | Home Health | 400 Renaissance Ctr, Suite 2600, Detroit, MI 48243-1502 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055424 | Aeos Care Mi, Inc. | In Home Supportive Care | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-03-06 |
| 1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
| 1245786029 | Elissa Karstu | Chiropractor | 600 Tower Level 1, Renaissance Center, Detroit, MI 48243 | 2016-08-31 |
| 1730664202 | Aeos Care Mi, Inc. | Durable Medical Equipment & Medical Supplies | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-10-01 |
| 1447744982 | Rebecca Lindgren | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2018-06-19 |
| 1366959710 | Quenessa C Miller | Technician, Health Information | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2018-01-08 |
| 1225543010 | Jennifer Le-ann Sofranski | Psychologist | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2017-12-03 |
| 1366982076 | Whitney Jenerette | Counselor | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2017-02-28 |
| 1073961694 | Aaron Byrne | Counselor | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2016-05-25 |
| 1578985206 | Kathleen Wilson | Behavioral Analyst | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2014-01-15 |
| Find all providers in zip 48243 | ||||
| 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 |
|---|---|---|---|---|
| 1205459385 | Dreamworks Behavioral Health Services LLC | Behavioral Analyst | 17554 Tracey St, Detroit, MI 48235-2634 | 2020-05-22 |
| 1336794338 | Dennis Michael Thompson | Behavioral Analyst | Elmhurst Home Inc., 12010 Linwood, Detroit, MI 48206-1108 | 2019-08-06 |
| 1235796772 | Angelo D Pharr II | Behavioral Analyst | 15606 E 7 Mile Rd, Detroit, MI 48205-2557 | 2019-05-21 |
| 1699257790 | Chantel Shawnese Taylor | Behavioral Analyst | 15427 Littlefield St, Detroit, MI 48227-3617 | 2018-09-05 |
| 1508371550 | Keena Marie Arrington | Behavioral Analyst | 5941 Somerset Ave, Detroit, MI 48224-3120 | 2017-12-12 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1619423613 | Rala Jenice Ford | Behavioral Analyst | 15461 Whitcomb, Detroit, MI 48227 | 2016-08-30 |
| 1518412683 | Septima Harris | Behavioral Analyst | 6411 Artesian St, Detroit, MI 48228-4908 | 2016-08-18 |
| 1396298808 | Christopher Brumm | Behavioral Analyst | 1511 1st St Apt 205, Detroit, MI 48226-1352 | 2016-08-01 |
| 1962850214 | Yvonne Anne Pallone | Behavioral Analyst | 7420 Beaverland, Detroit, MI 48239-1049 | 2016-05-26 |
| Find all providers in DETROIT | ||||
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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.