Healthcare Provider Details

I. General information

NPI: 1912610478
Provider Name (Legal Business Name): CARA SEVEC BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19992 KELLY RD
HARPER WOODS MI
48225-1919
US

IV. Provider business mailing address

2 ADAMS ST APT 1406
DENVER CO
80206-5727
US

V. Phone/Fax

Practice location:
  • Phone: 313-315-2910
  • Fax:
Mailing address:
  • Phone: 720-755-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-62188
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: