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Rose Bridges

Assistant Behavior Analyst β€’ Three Rivers, MI

Active NPI 1134601933 Individual Practitioner Female Practitioner
Practice location in NPPES

16587 Enterprise Dr Ste E
Three Rivers, MI 490937902

Call 2692444172 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

16587 Enterprise Dr Ste E

Three Rivers, MI 490937902

Telephone 2692444172
Organization at the Same NPPES Address or Phone
Lifetree Behavioral Health, Llc Facility NPI 1710641543

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 Three Rivers and Michigan

1 active clinicians are listed under Assistant Behavior Analyst with a practice address in Three Rivers, MI (316 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

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: 2024-05-16
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES MI 7402000190

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct 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

9 Historical Events
πŸ“
Updated Practice Location May 16, 2024

Registered at 16587 ENTERPRISE DR STE E, THREE RIVERS, MI 490937902 (Tel: 2692444172)

πŸ“
Updated Business Mailing Address May 16, 2024

Registered at 16587 ENTERPRISE DR STE E, THREE RIVERS, MI 490937902 (Tel: 2692444172)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2024

Assistant Behavior Analyst (license number reported to NPPES: MI 7402000190)

βœ…
NPI Profile Active August 29, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 29, 2018

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

πŸ“
Business Mailing Address (Initial Record) August 29, 2018

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

πŸ‘€
Provider Name / Credentials (Initial Record) August 29, 2018

Recorded as ROSE BRIDGES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration August 29, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134601933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2018
Last Update: May 16, 2024
Sole Proprietor: No

Mailing Address

16587 Enterprise Dr Ste E

Three Rivers, MI 490937902

Phone: 2692444172

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.