THE SPARK CENTER FOR AUTISM (NPI# 1538586078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538586078 |
| Entity Type | Organization |
| Organization Name | THE SPARK CENTER FOR AUTISM |
| Practice Address |
39319 Plymouth Rd Livonia MI 48150-1059 |
| Mailing Address |
23240 Tulane Ave Farmington Hills MI 48336-3667 |
| Practice Telephone | 2482389772 |
| Mailing Telephone | 2482389772 |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-03-22 |
| Authorized Official Name | MRS. EMILY ANN MORRIS (CO-OWNER) |
| Authorized Official Telephone | 2482389772 |
| Authorized Official Credential | M.S, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11212642 | MI | Behavioral Health & Social Service Providers |
| Street Address |
39319 PLYMOUTH RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235770462 | Suzanne Marie Bosek | Psychologist | 39319 Plymouth Rd, Livonia, MI 48150-1059 | 2019-09-29 |
| 1720638158 | Amanda Lyberg | Psychologist | 39319 Plymouth Rd, Livonia, MI 48150-1059 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| 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 |
|---|---|---|---|---|
| 1669900940 | Danielle Prentice | Behavioral Analyst | 31557 Schoolcraft Rd, Livonia, MI 48150-1849 | 2017-05-31 |
| 1063961274 | Cheryl Geniesse | Behavioral Analyst | 29691 6 Mile Rd # 100d, Livonia, MI 48152-8606 | 2016-09-28 |
| 1306298658 | Daniel Reckling | Behavioral Analyst | 31540 Pembroke St, Livonia, MI 48152-1521 | 2016-07-11 |
| 1295198521 | Zelexa, LLC | Behavioral Analyst | 31153 Plymouth Rd Ste 105, Livonia, MI 48150-2134 | 2016-04-04 |
| 1013398015 | Jasmine Patricia Norman | Behavioral Analyst | 38807 Ann Arbor Rd Ste 3, Livonia, MI 48150-3896 | 2015-06-15 |
| 1609268333 | Jeanne Taylor | Behavioral Analyst | 13975 Riverside Ct, Livonia, MI 48154-5352 | 2015-03-04 |
| 1871996645 | Erin Donahue | Behavioral Analyst | 29225 Meadowlark St, Livonia, MI 48154-4529 | 2014-10-07 |
| 1083968101 | Emily Ann Morris | Behavioral Analyst | 31478 Industrial Rd, Livonia, MI 48150-1839 | 2012-10-29 |
| 1962798975 | Slc Therapy | Behavioral Analyst | 29240 Buckingham Suite 1, Livonia, MI 48154 | 2011-06-28 |
| 1841781531 | Bluestone Childrens Center, LLC | Behavioral Analyst | 38935 Ann Arbor Rd, Livonia, MI 48150-3397 | 2018-05-29 |
| Find all providers in LIVONIA | ||||
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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.