Healthcare Provider Details

I. General information

NPI: 1356005599
Provider Name (Legal Business Name): ADAPTIVE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 LINCOLN WAY E
SOUTH BEND IN
46601-3250
US

IV. Provider business mailing address

750 LINCOLN WAY E
SOUTH BEND IN
46601-3250
US

V. Phone/Fax

Practice location:
  • Phone: 574-786-0088
  • Fax: 574-366-0080
Mailing address:
  • Phone: 574-786-0088
  • Fax: 574-366-0080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH RYAN BAIRD
Title or Position: MANAGER
Credential: BCBA
Phone: 574-202-7115