Individual provider · NPI-1

Benjamin Matthew Barnes, BCBA, LBA

Behavior Analyst · Saint Clair Shores, MI

NPI number1417636200
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1417636200
Entity type
Individual (NPI-1)
Name
Benjamin Matthew Barnes
Credential
BCBA, LBA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2023
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst7401003411MIYes

Practice location

26210 Harper Ave
Saint Clair Shores, MI 48081-2203

Phone 888-485-8636

Mailing address

26210 Harper Ave
Saint Clair Shores, MI 48081-2203

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