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Akrum Eidelsafy , BCBA, LBA

Behavior Analyst β€’ Grand Blanc, MI

Active NPI 1639662208 Individual Practitioner Male Practitioner
Practice location in NPPES

8285 S Saginaw St
Grand Blanc, MI 484392468

Call 8103213019 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8285 S Saginaw St

Grand Blanc, MI 484392468

Telephone 8103213019
Fax 8103213002
Organization at the Same NPPES Address or Phone
Physiotherapy Associates Inc Facility NPI 1700078862

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Blanc and Michigan

15 active clinicians are listed under Behavior Analyst with a practice address in Grand Blanc, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Blanc

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401000688

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location November 02, 2022

Registered at 8285 S SAGINAW ST, GRAND BLANC, MI 484392468 (Tel: 8103213019)

πŸ“
Updated Business Mailing Address November 02, 2022

Registered at 8285 S SAGINAW ST, GRAND BLANC, MI 484392468 (Tel: 8103213019)

πŸ‘€
Provider Name / Credentials Updated November 02, 2022

Recorded as AKRUM EIDELSAFY, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2022

Behavior Analyst (license number reported to NPPES: MI 7401000688)

πŸ“
Updated Practice Location June 19, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334 (Tel: 2482990030)

πŸ“
Updated Business Mailing Address June 19, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2019

Behavior Analyst

βœ…
NPI Profile Active June 08, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 08, 2018

Registered at 1617 E MILHAM AVE STE B, PORTAGE, MI 490023049 (Tel: 2693899102)

πŸ“
Business Mailing Address (Initial Record) June 08, 2018

Registered at 1617 E MILHAM AVE STE B, PORTAGE, MI 490023049

πŸ‘€
Provider Name / Credentials (Initial Record) June 08, 2018

Recorded as AKRUM EIDELSAFY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 08, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639662208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2018
Last Update: November 02, 2022
Sole Proprietor: No

Mailing Address

8285 S Saginaw St

Grand Blanc, MI 484392468

Phone: 8103213019

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.