GREAT LAKES BEHAVIORAL SERVICES
NPI 1144818295
Behavior Analyst in South Bend, IN

NPI Status: Active since January 05, 2021

Contact Information

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

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  • Organization
  • Behavior Analyst

About GREAT LAKES BEHAVIORAL SERVICES

This page provides the complete NPI Profile along with additional information for Great Lakes Behavioral Services, a provider established in South Bend, Indiana operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1144818295 assigned on January 2021. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shanti Bradley Bcba (Co-clinical Director)

NPI
1144818295
Provider Name
GREAT LAKES BEHAVIORAL SERVICES
Entity Type
Organization
Location Address
701 N NILES AVE SOUTH BEND, IN 46617
Location Phone
(574) 393-9955
Location Fax
(574) 393-9956
Mailing Address
701 N NILES AVE STE OP102 SOUTH BEND, IN 46617
Mailing Phone
(574) 393-9955
Mailing Fax
(574) 393-9956
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2021
Last Update Date
06-28-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANTI BRADLEY BCBA

Authorized Official Title
CO-CLINICAL DIRECTOR
Authorized Official Phone
(574) 393-9955

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144818295, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 6 + 1 + 1 + 6 + 2 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1144818295.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Counselor
701 N NILES AVE
SOUTH BEND, IN 46617
Clinic/Center (Multi-Specialty)
701 N NILES AVE
SOUTH BEND, IN 46617
Residential Treatment Facility, Emotionally Disturbed Children
701 N NILES AVE
SOUTH BEND, IN 46617
Behavior Technician
701 N NILES AVE
SOUTH BEND, IN 46617
Clinic/Center (Developmental Disabilities)
701 N NILES AVE
SOUTH BEND, IN 46617
Behavior Analyst
701 N NILES AVE
SOUTH BEND, IN 46617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144818295, enumerated as an "organization" on January 05, 2021.

The provider is located at 701 N NILES AVE SOUTH BEND, IN 46617 and the phone number is (574) 393-9955.

Behavior Analyst with taxonomy code 103K00000X.