GREAT LAKES BEHAVIORAL SERVICES NPI 1144818295

NPI Details

GREAT LAKES BEHAVIORAL SERVICES is a behavior analyst in South Bend, IN. 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. GREAT LAKES BEHAVIORAL SERVICES NPI is 1144818295. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 N NILES AVE
SOUTH BEND, IN
ZIP 46617-923
Phone: (574) 393-9955
Fax: (574) 393-9956

The provider's authorized official is Shanti Bradley .
The authorized official title is Co-clinical Director and has the following contact phone number (574) 393-9955.

The enumeration date for this NPI number is 1/5/2021 and was last updated on 6/28/2021.

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: