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TRAC AUTISM CENTER INC. NPI 1154889459


NPI Information

NPI: 1154889459
Provider Name: TRAC AUTISM CENTER INC.

Former Legal Business Name: T.R.A.C. THERAPY RESEARCH AUTISM CENTER

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
10751 S SAGINAW ST STE E
GRAND BLANC, MI
ZIP 48439
Phone: (586) 404-9400
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TRAC AUTISM CENTER INC. is a behavior analyst in Grand Blanc, 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. TRAC AUTISM CENTER INC. NPI is 1154889459. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is T.r.a.c. Therapy Research Autism Center.

The provider's business location address is:

10751 S SAGINAW ST STE E
GRAND BLANC, MI
ZIP 48439-169
Phone: (586) 404-9400

The provider's authorized official is Lisa Gillette .
The authorized official title is Business Manager and has the following contact phone number (989) 513-0782.

The enumeration date for this NPI number is 3/5/2019 and was last updated on 2/22/2024.


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
1106E00000XAssistant Behavior AnalystNo
2106H00000XMarriage & Family TherapistNo
3251B00000XCase ManagementNo
4251S00000XCommunity/Behavioral HealthNo
5252Y00000XEarly Intervention Provider AgencyNo
6261Q00000XClinic/CenterNo
7261QD1600XClinic/CenterDevelopmental DisabilitiesNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9261QM0850XClinic/CenterAdult Mental HealthNo
10261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
11261QM2500XClinic/CenterMedical SpecialtyNo
12261QR1100XClinic/CenterResearchNo
13261QR1300XClinic/CenterRural HealthNo
14385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
15103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11124405873MEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.