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Krista Skodack , MA, BCBA, LBA

Behavior Analyst β€’ Westland, MI

Active NPI 1467129353 Individual Practitioner Female Practitioner
Practice location in NPPES

6555 N Wayne Rd
Westland, MI 481852713

Call 5862430555 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

6555 N Wayne Rd

Westland, MI 481852713

Telephone 5862430555
Organization at the Same NPPES Address or Phone
Affable Home Healthcare Network Facility NPI 1255786182

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 1 additional practice-address record in Detroit, 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.

NPI first issued

2021

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 Westland and Michigan

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Westland

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 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: 2022-05-23
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401001650

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

5555 Conner St

Detroit, MI 482133448

Phone: 5862430555

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location May 23, 2022

Registered at 6555 N WAYNE RD, WESTLAND, MI 481852713 (Tel: 5862430555)

πŸ“
Updated Practice Location February 25, 2022

Registered at 5555 CONNER ST, DETROIT, MI 482133448 (Tel: 5862430555)

πŸ“
Updated Business Mailing Address February 25, 2022

Registered at 51145 NICOLETTE DR, CHESTERFIELD, MI 480474585 (Tel: 5862289991)

πŸ‘€
Provider Name / Credentials Updated February 25, 2022

Recorded as KRISTA SKODACK, M.A., BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2022

Behavior Analyst (license number reported to NPPES: MI 7401001650)

βœ…
NPI Profile Active August 27, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 27, 2021

Registered at 10327 GRAND RIVER RD STE 401, BRIGHTON, MI 481166501 (Tel: 8007875118)

πŸ“
Business Mailing Address (Initial Record) August 27, 2021

Registered at 10327 GRAND RIVER RD STE 401, BRIGHTON, MI 481166501 (Tel: 8007875118)

πŸ‘€
Provider Name / Credentials (Initial Record) August 27, 2021

Recorded as KRISTA SKODACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration August 27, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467129353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2021
Last Update: May 23, 2022
Sole Proprietor: No

Mailing Address

51145 Nicolette Dr

Chesterfield, MI 480474585

Phone: 5862289991

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.