DR. JORDAN PAUL BOUDREAU PHD BCBA
NPI 1043567290
Behavior Analyst in Novi, MI

Q: What is Jordan Boudreau's NPI number?

The NPI number for Jordan Boudreau is 1043567290. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Jordan Boudreau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Boudreau was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2012

39525 W 14 MILE RD STE 100, NOVI, MI 48377(231) 497-0555(855) 605-7700 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2023, Nov 9, 2020, May 15, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Jordan Paul Boudreau Phd Bcba NPPES

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

DR. JORDAN PAUL BOUDREAU PHD BCBA (NPI 1043567290) is an individual behavior analyst provider in Novi, Michigan and active in the NPI registry since August 2012. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043567290

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameDR. JORDAN PAUL BOUDREAUCredential: PHD BCBA

Location Address39525 W 14 MILE RD STE 100Novi, MI 48377-1635

Mailing Address39525 W 14 Mile Rd Ste 100Novi, MI 48377-1635 · (231) 497-0555 · Fax (855) 605-7700

Phone(231) 497-0555

Fax(855) 605-7700

Sole ProprietorNo

Enumeration DateAugust 7, 2012

Last NPPES UpdateApril 3, 20234 updates tracked since enumeration

NPPES CertifiedApril 3, 2023

✔ NPI 1043567290 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.

39525 W 14 MILE RD STE 100, Novi, MI 48377

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Secondary Practice Locations 2

Location 11765 SW Captains PlPalm City, FL 34990 · Phone (231) 497-0555 · Fax (772) 494-7093

Location 215825 Upper Birch DrTraverse City, MI 49686-8313 · Phone (231) 497-0555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY LOUIS-FERDINAND

Behavior Analyst