Healthcare Provider Details

I. General information

NPI: 1093355596
Provider Name (Legal Business Name): ADRIENNE RHICHELE MCCARTY MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3917 RESEARCH PARK DR STE 1B
ANN ARBOR MI
48108-2286
US

IV. Provider business mailing address

3917 RESEARCH PARK DR STE 1B
ANN ARBOR MI
48108-2286
US

V. Phone/Fax

Practice location:
  • Phone: 734-794-2930
  • Fax:
Mailing address:
  • Phone: 734-794-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401002802
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: