Dr. Jordan Paul Boudreau , PHD BCBA

Behavior Analyst • Novi, MI

Active NPI 1043567290 Individual Practitioner Male Practitioner

Practice location in NPPES

39525 W 14 Mile Rd Ste 100
Novi, MI 483771635

Call 2314970555 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.

Dr. Jordan Boudreau is listed in NPPES under Behavior Analyst.
NPI assigned on August 7, 2012; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

39525 W 14 Mile Rd Ste 100

Novi, MI 483771635

Telephone 2314970555

Fax 8556057700

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Inspire Autism Llc Facility NPI 1003438052

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

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Palm City, FL; Traverse City, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Behavior Analyst: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2012

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

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, “Does 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 Novi and Michigan

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Novi

0.7% of these 148 clinicians have the CMS telehealth indicator.

0.7% of these 148 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-03

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

Secondary Practice Locations

1765 Sw Captains Pl

Palm City, FL 34990

Phone: 2314970555

1765 Sw Captains Pl

Palm City, FL 34990

Phone: 2314970555

15825 Upper Birch Dr

Traverse City, MI 496868313

Phone: 2314970555

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location April 03, 2023

Registered at 39525 W 14 MILE RD STE 100, NOVI, MI 483771635 (Tel: 2314970555)

📍

Updated Business Mailing Address April 03, 2023

Registered at 39525 W 14 MILE RD STE 100, NOVI, MI 483771635 (Tel: 2314970555)

📍

Updated Practice Location November 09, 2020

Registered at 918 FORESTDALE RD, ROYAL OAK, MI 480671646 (Tel: 2314970555)

📍

Updated Business Mailing Address November 09, 2020

Registered at 918 FORESTDALE RD, ROYAL OAK, MI 480671646 (Tel: 2314970555)

📍

Updated Practice Location May 15, 2020

Registered at 15825 UPPER BIRCH DR, TRAVERSE CITY, MI 496868313 (Tel: 2314970555)

📍

Updated Business Mailing Address May 15, 2020

Registered at 15825 UPPER BIRCH DR, TRAVERSE CITY, MI 496868313 (Tel: 2314970555)

👤

Provider Name / Credentials Updated May 15, 2020

Recorded as JORDAN BOUDREAU, PHD BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2020

Behavior Analyst

📍

Updated Practice Location July 03, 2019

Registered at 1765 SW CAPTAINS PL, PALM CITY, FL 34990 (Tel: 2314970555)

📍

Updated Business Mailing Address July 03, 2019

Registered at 1076 SE FLEMING WAY, STUART, FL 349971558 (Tel: 2314970555)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Behavior Analyst

✅

NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) March 21, 2013

Registered at 990 GARFIELD WOODS DR STE B, TRAVERSE CITY, MI 496865160 (Tel: 2314970555)

📍

Business Mailing Address (Initial Record) March 21, 2013

Registered at 990 GARFIELD WOODS DR STE B, TRAVERSE CITY, MI 496865160 (Tel: 2314970555)

👤

Provider Name / Credentials (Initial Record) March 21, 2013

Recorded as JORDAN BOUDREAU, MS BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Behavior Analyst (license number reported to NPPES: MI 1-09-5852)

🟢

Initial NPI Registration & Enumeration August 07, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043567290

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 07, 2012

Last Update: April 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

39525 W 14 Mile Rd Ste 100

Novi, MI 483771635

Phone: 2314970555

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.