Healthcare Provider Details

I. General information

NPI: 1316484652
Provider Name (Legal Business Name): ALAINA ANDERSON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2017
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42850 GARFIELD RD STE 101
CLINTON TOWNSHIP MI
48038-5026
US

IV. Provider business mailing address

9001 MILLER RD STE 5
SWARTZ CREEK MI
48473-1115
US

V. Phone/Fax

Practice location:
  • Phone: 586-261-8524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-36972
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: