Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TODD JORDAN BOOTH
NPI 1477479764
Behavior Technician in Grosse Pointe Woods, MI

Q: What is Todd Booth's NPI number?

The NPI number for Todd Booth is 1477479764. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Q: What is Todd Booth's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Booth was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2026

19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 48236(313) 343-1370(313) 343-1370 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Todd Jordan Booth NPPES

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

TODD JORDAN BOOTH (NPI 1477479764) is an individual behavior technician in Grosse Pointe Woods, Michigan and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1477479764

Entity TypeIndividual

Primary Taxonomy106S00000X

Provider Legal NameTODD JORDAN BOOTH

Location Address19251 MACK AVE STE M450Grosse Pointe Woods, MI 48236-2893

Mailing Address19251 Mack Ave Ste M450Grosse Pointe Woods, MI 48236-2893 · (313) 343-1370 · Fax (313) 343-1370

Phone(313) 343-1370

Fax(313) 343-1370

Sole ProprietorNo

Enumeration DateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1477479764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

19251 MACK AVE STE M450, Grosse Pointe Woods, MI 48236

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