ABA CONNECTIONS OF CENTRAL MICHIGAN, LLC — NPI 1376926162 (Licensed & Credentialed Behavior Analyst in MIDLAND, MI)

CMS-1500 Box 24J / 33a • NPI

1376926162

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

3301 RIDECREST DR, MIDLAND, MI, 48642

Official NPPES Practice Location

Practice Phone & Referral Fax

(989) 839-2290

Fax: (844) 273-4297

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376926162 (ABA CONNECTIONS OF CENTRAL MICHIGAN, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1376926162` (NPI-2 Organization / Facility)
Provider / Legal Name	ABA CONNECTIONS OF CENTRAL MICHIGAN, LLC
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3301 RIDECREST DR, MIDLAND, MI, 48642
Practice Telephone / Fax	Tel: (989) 839-2290 \| Fax: (844) 273-4297
Administrative Mailing Address	3301 RIDGECREST DR, MIDLAND, MI, 48642-5860
Enumeration & Last Sync	Enumerated: 2015-06-30 \| CMS Record Updated: 2015-06-30
Authorized Official	TINA MARCELLIS (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3301 RIDECREST DR, MIDLAND, MI, 48642

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABA CONNECTIONS OF CENTRAL MICHIGAN, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `1-00-0120` \| Primary: Secondary
`103TM1800X` — Psychologist, Intellectual & Developmental Disabilities Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities	State: MI \| License: `6301015991` \| Primary: Secondary
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `1-13-14525` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABA CONNECTIONS OF CENTRAL MICHIGAN, LLC (NPI #1376926162)