MICHAEL LAVERDIERE BCBA - NPI 1710539473 - Behavior Analyst in Saint Cloud, MN

Q: What is Michael Laverdiere's NPI number?

The NPI number for Michael Laverdiere is 1710539473. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Q: What is Michael Laverdiere's specialty?

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

On this page

About Michael Laverdiere Bcba NPPES

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

MICHAEL LAVERDIERE BCBA (NPI 1710539473) is an individual behavior analyst provider in Saint Cloud, Minnesota, licensed in Minnesota (1-20-42370) and active in the NPI registry since July 2019. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710539473

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameMICHAEL LAVERDIERECredential: BCBA

Location Address3721 23RD ST S APT 201Saint Cloud, MN 56301-6199

Mailing Address2804 E 26th St Ste 1Sioux Falls, SD 57103-4019 · (605) 271-2690 · Fax (605) 271-3956

Phone(218) 457-2185

Fax(605) 271-3956

Sole ProprietorNo

Enumeration DateJuly 12, 2019

Last NPPES UpdateJune 3, 20203 updates tracked since enumeration

NPPES CertifiedJune 3, 2020

✔ NPI 1710539473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MN · 1-20-42370

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 ListedAssistant Behavior AnalystTaxonomy 106E00000X · License 09-19-10548 (MN)

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-18-62994 (MI)

3721 23RD ST S APT 201, Saint Cloud, MN 56301

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11307 S Lincoln RdEscanaba, MI 49829-2149 · Phone (906) 280-6041

Location 2735 3rd St SWPerham, MN 56573-1152 · Phone (218) 214-9950 · Fax (605) 271-3956

Location 32500 7th Ave S Ste 100Escanaba, MI 49829-1176 · Phone (906) 786-6441

Other Providers at the Same Location NPPES 16

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

KAYLA RENGEL RBT

Behavior Technician