IndividualActive
Alicia Ennis, M.A., BCBA
NPI 1174078935 · Behavior Analyst · Bingham Farms, MI
Provider details
- NPI number
- 1174078935
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- M.A., BCBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
Practice location
32100 Telegraph Rd
Suite 185
Bingham Farms, MI 48025-2452
Phone: (248) 712-4266
Approximate (ZIP-level) locationGet directions
Mailing address
32100 Telegraph Rd
Bingham Farms, MI 48025-2452
Additional practice locations (1)
- 300 Market St Ste 200Chapel Hill, NC 27516-4493Phone: (984) 528-8787Fax: (984) 246-1223
Registry dates
- Enumerated
- 2016-08-22
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.