KRISTINA ANN BOURDO-MOULDER BCBA, LBA
NPI 1609320811
Behavior Analyst in Grand Rapids, MI
NPI Status: Active since August 05, 2016
Contact Information
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (855) 832-6727
- Individual
- Female
- Behavior Analyst
About KRISTINA BOURDO-MOULDER
This page provides the complete NPI Profile along with additional information for Kristina Bourdo-moulder, a provider established in Grand Rapids, Michigan with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1609320811 assigned on August 2016. The practitioner's primary taxonomy code is 103K00000X with license number 7401002527 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1609320811
- Provider Name
- KRISTINA ANN BOURDO-MOULDER BCBA, LBA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2814 WOODCLIFF CIR SE GRAND RAPIDS, MI 49506
- Location Phone
- (855) 832-6727
- Mailing Address
- 338 N MAIN ST WAYLAND, MI 49348
- Mailing Phone
- (541) 610-7104
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2016
- Last Update Date
- 11-22-2024
- Code Navigator
Location Map
Secondary Locations
- 27777 Inkster Rd Ste 100
Farmington Hills, MI 48334
(248) 436-4400
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
- License No.
- 7401002527
- License State
- MI
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | (MI) |
| 3 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | |
| 4 | 247200000X | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
Reviews for KRISTINA ANN BOURDO-MOULDER BCBA, LBA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 3 | 2 | 0 | 8 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 2 | 0 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 2 + 0 + 8 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1609320811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JENNIFER DAWN CHAMBERS
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
RACHEL HAGLUND
Assistant Behavior Analyst
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
MR. NICHOLAS BEITZ
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
WHITNEY OLIVIA VALLEY
Behavior Analyst
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
SHELBY JEAN BOWEN
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
OSTA MARIE THOMSON
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
LINDSEY M WILSON BCBA
Behavior Analyst
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
KATHERINE STONE M.ED, BCBA
Behavior Analyst
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
GABRIELLE ELENA BLOOM BCBA
Behavior Analyst
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
ALYSSA BROOKE ARENS
Behavior Technician
2814 WOODCLIFF CIR SE
EAST GRAND RAPIDS, MI
ZIP 49506
KYLA MILLER
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
AMBER HUBBARD
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
ANGELICA SALAS
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
DANIELLE ERIN JO DITRAPANI
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
ATIRAS THOMAS
Behavior Analyst
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
TAYLOR VAUGHN
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
CHRISTOPHER KOOIENGA
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
JACLYN ROEPCKE MS OTRL
Occupational Therapist
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
STACEY DEVRIES
Counselor
(Professional)
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
TONYA M CARTER
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI
ZIP 49506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609320811, enumerated as an "individual" on August 05, 2016.
The provider is located at 2814 WOODCLIFF CIR SE GRAND RAPIDS, MI 49506 and the phone number is (855) 832-6727.
Behavior Analyst with taxonomy code 103K00000X.
