PROMENADE AUTISM SERVICES, PLLC
NPI 1013652304
Behavior Analyst in Davison, MI

Active since May 01, 2022
7379 WREN DR, DAVISON, MI 48423(810) 444-1884 Get Directions Write a Review

NPPES record last updated: May 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Promenade Autism Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMENADE AUTISM SERVICES, PLLC (NPI 1013652304) is a healthcare organization registered as a behavior analyst in Davison, Michigan and active in the NPI registry since May 2022. The organization lists Tina Marie Mueller, Bcba, as its authorized official.

NPPES Registry Identity

NPI1013652304
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NamePROMENADE AUTISM SERVICES, PLLC
Location Address7379 WREN DRDavison, MI 48423-7819
Mailing Address7379 Wren DrDavison, MI 48423-7819 · (810) 444-1884
Organization SubpartNo
Authorized OfficialTina Marie MuellerBcba · (810) 444-1884
Enumeration DateMay 1, 2022
NPPES CertifiedMay 1, 2022
NPI 1013652304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

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.

7379 WREN DR, Davison, MI 48423

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promenade Autism Services, PLLC's NPI number?

The NPI number for Promenade Autism Services, PLLC is 1013652304. It was assigned to this organization in the NPPES registry on May 1, 2022.

Where is Promenade Autism Services, PLLC located?

Promenade Autism Services, PLLC is located at 7379 Wren Dr, Davison, MI 48423. The listed phone number is (810) 444-1884.

What is Promenade Autism Services, PLLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Promenade Autism Services, PLLC was last updated on May 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.