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LIFESPAN BEHAVIORAL HEALTH PLLC NPI 1275079683


NPI Information

NPI: 1275079683
Provider Name: LIFESPAN BEHAVIORAL HEALTH PLLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
1686 N LAKESHORE DR
LUDINGTON, MI
ZIP 49431
Phone: (231) 233-6576
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LIFESPAN BEHAVIORAL HEALTH PLLC is a behavior analyst in Ludington, MI. The provider is 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. LIFESPAN BEHAVIORAL HEALTH PLLC NPI is 1275079683. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1686 N LAKESHORE DR
LUDINGTON, MI
ZIP 49431-403
Phone: (231) 233-6576
Fax: (231) 845-7095

The provider's authorized official is Justin R Persoon .
The authorized official title is Principal and has the following contact phone number (231) 233-6576.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 1/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional640-101-3191MICHIGANNo
2103K00000XBehavior Analyst1-16-22081MICHIGANYes
3103TB0200XPsychologistCognitive & Behavioral630-101-5191MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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