MEDICARE: A. BARRETT ACADEMY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TB0200X	Cognitive & Behavioral Psychologist
2	103TC2200X	Clinical Child & Adolescent Psychologist
3	103TM1800X	Intellectual & Developmental Disabilities Psychologist
4	104100000X	Social Worker
5	106S00000X	Behavior Technician
6	225XP0200X	Pediatric Occupational Therapist
7	231H00000X	Audiologist
8	235Z00000X	Speech-Language Pathologist
9	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1588363824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A. BARRETT ACADEMY LLC

Provider Business Mailing Address
First Line	:	5949 MURNEN RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-1415
Country	:	US
Telephone Number	:	567-304-3428
Fax Number	:

Provider Business Practice Location Address
First Line	:	1135 CORPORATE DR
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-8457
Country	:	US
Telephone Number	:	567-304-3428
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALECIA BARRETT
Credential	:	BCBA
Telephone Number	:	567-304-3428

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	08/15/2025

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