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MICHAEL LAVERDIERE BCBA NPI 1710539473


NPI Information

NPI: 1710539473
Provider Name: MICHAEL LAVERDIERE, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
3721 23RD ST S APT 201
SAINT CLOUD, MN
ZIP 56301
Phone: (218) 457-2185
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Michael Laverdiere, BCBA is a behavior analyst in Saint Cloud, MN. 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. Michael Laverdiere, BCBA NPI is 1710539473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3721 23RD ST S APT 201
SAINT CLOUD, MN
ZIP 56301-199
Phone: (218) 457-2185
Fax: (605) 271-3956

The enumeration date for this NPI number is 7/12/2019 and was last updated on 6/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106E00000XAssistant Behavior Analyst09-19-10548MINNESOTANo
2106S00000XBehavior TechnicianRBT-18-62994MICHIGANNo
3103K00000XBehavior Analyst1-20-42370MINNESOTAYes

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: 4/28/2024

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