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Michael Laverdiere , BCBA

Behavior Analyst β€’ Saint Cloud, MN

Active NPI 1710539473 Individual Practitioner Male Practitioner
Practice location in NPPES

3721 23rd St S Apt 201
Saint Cloud, MN 563016199

Call 2184572185 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

3721 23rd St S Apt 201

Saint Cloud, MN 563016199

Telephone 2184572185
Fax 6052713956
Organization at the Same NPPES Address or Phone
Behavior Care Specialists, Inc Facility NPI 1215215561

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 3 distinct additional practice-address records in Escanaba, MI; Perham, MN. 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

2019

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 Saint Cloud and Minnesota

126 active clinicians are listed under Behavior Analyst with a practice address in Saint Cloud, MN (1,393 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

0% of these 126 clinicians have the CMS telehealth indicator.

0% of these 126 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: 2020-06-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MN 1-20-42370

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES MN 09-19-10548

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES MI RBT-18-62994

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

1307 S Lincoln Rd

Escanaba, MI 498292149

Phone: 9062806041

735 3rd St Sw

Perham, MN 565731152

Phone: 2182149950

2500 7th Ave S Ste 100

Escanaba, MI 498291176

Phone: 9067866441

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Tracy Williams , PH, D, BCBA

Psychologist - Cognitive & Behavioral

NPI 1114180064

PH, D, Board Certified Behavior Analyst

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location June 03, 2020

Registered at 3721 23RD ST S APT 201, SAINT CLOUD, MN 563016199 (Tel: 2184572185)

πŸ“
Updated Business Mailing Address June 03, 2020

Registered at 2804 E 26TH ST STE 1, SIOUX FALLS, SD 571034019 (Tel: 6052712690)

πŸ‘€
Provider Name / Credentials Updated June 03, 2020

Recorded as MICHAEL LAVERDIERE, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Behavior Analyst (license number reported to NPPES: MN 1-20-42370)

βœ…
NPI Profile Active July 12, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 12, 2019

Registered at 2500 7TH AVE S STE 100, ESCANABA, MI 498291176 (Tel: 9067866441)

πŸ“
Business Mailing Address (Initial Record) July 12, 2019

Registered at 2500 7TH AVE S STE 100, ESCANABA, MI 498291176

πŸ‘€
Provider Name / Credentials (Initial Record) July 12, 2019

Recorded as MICHAEL LAVERDIERE, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2019

Behavior Technician (license number reported to NPPES: MI RBT-18-62994)

🟒
Initial NPI Registration & Enumeration July 12, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710539473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2019
Last Update: June 03, 2020
Sole Proprietor: No

Mailing Address

2804 E 26th St Ste 1

Sioux Falls, SD 571034019

Phone: 6052712690

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.