KRISTINA ANN BOURDO-MOULDER BCBA, LBA
NPI 1609320811
Behavior Analyst in Grand Rapids, MI

Q: What is Kristina Bourdo-moulder's NPI number?

The NPI number for Kristina Bourdo-moulder is 1609320811. It was assigned to this individual provider in the NPPES registry on August 5, 2016.

Q: What is Kristina Bourdo-moulder's specialty?

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

Active since August 05, 2016

2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506(855) 832-6727 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Feb 17, 2023, Dec 18, 2020 (3 updates tracked since 2020).

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About Kristina Ann Bourdo-moulder Bcba, Lba NPPES

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

KRISTINA ANN BOURDO-MOULDER BCBA, LBA (NPI 1609320811) is an individual behavior analyst provider in Grand Rapids, Michigan, licensed in Michigan (7401002527) and active in the NPI registry since August 2016. She maintains a secondary practice location in Farmington Hills.

NPPES Registry Identity

NPI1609320811

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKRISTINA ANN BOURDO-MOULDERCredential: BCBA, LBA

Location Address2814 WOODCLIFF CIR SEGrand Rapids, MI 49506-3155

Mailing Address338 N Main StWayland, MI 49348-1039 · (541) 610-7104

Phone(855) 832-6727

Sole ProprietorNo

Enumeration DateAugust 5, 2016

Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1609320811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MI · 7401002527

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedTechnician, OtherTaxonomy 247200000X

2814 WOODCLIFF CIR SE, Grand Rapids, MI 49506

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Secondary Practice Location 1

Location 127777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312 · Phone (248) 436-4400

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, Medica and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

ANGELICA SALAS

Technician, Other