IndividualActive
Alexis Wicke, MA, BCBA
NPI 1134675754 · Behavior Analyst · Ypsilanti, MI
Provider details
- NPI number
- 1134675754
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- MA, BCBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2111 Golfside Rd Ste 3
Ypsilanti, MI 48197-1145
Phone: (248) 846-8700
Street-level locationGet directions
Mailing address
2733 E 12th St Ste C2
Brooklyn, NY 11235-4672
Additional practice locations (3)
- 600 3 Mile Rd Nw Ste 200Grand Rapids, MI 49544-1691Phone: (855) 832-6727
- 27600 Northwestern Hwy Ste 150Southfield, MI 48034-8400Phone: (248) 846-8700
- 20332 Eureka RdTaylor, MI 48180-5310Phone: (248) 846-8700
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.