Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609320811 Individual Practitioner Female Practitioner

Kristina Ann Bourdo-Moulder , BCBA, LBA

Behavior Analyst • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Kristina Bourdo-Moulder, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Grand Rapids, MI. Practice services are available at 2814 WOODCLIFF CIR SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2814 Woodcliff Cir Se

Grand Rapids, MI 495063155

Telephone 8558326727
Associated Practice Facility / Clinic
🏢 Positive Behavior Supports Facility NPI 1700024296

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
252 Specialists

Practicing in Grand Rapids, MI (3207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 7401002527

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.

Technician, Other

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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.

Secondary Practice Locations

27777 Inkster Rd Ste 100

Farmington Hills, MI 483345312

Phone: 2484364400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Korie Hendrix

Behavior Analyst

NPI 1003103987
NPI 1003125576

Board Certified Behavior Analyst

Ana Reyes

Technician, Other

NPI 1003203241
Josephine Potter

Technician, Other

NPI 1003205220
Larhonda Callier

Technician, Other

NPI 1003207721
Maria Zelaya Castillo

Technician, Other

NPI 1003216722

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated November 22, 2024

Recorded as KRISTINA BOURDO-MOULDER, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2024

Technician, Other

📍
Updated Practice Location February 17, 2023

Registered at 2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 495063155 (Tel: 8558326727)

📍
Updated Business Mailing Address February 17, 2023

Registered at 338 N MAIN ST, WAYLAND, MI 493481039 (Tel: 5416107104)

👤
Provider Name / Credentials Updated February 17, 2023

Recorded as KRISTINA BOURDO-MOULDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2020

Behavior Technician

NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2016

Registered at 1245 112TH AVE, OTSEGO, MI 490789784 (Tel: 5416107104)

📍
Updated Business Mailing Address August 05, 2016

Registered at 1245 112TH AVE, OTSEGO, MI 490789784 (Tel: 5416107104)

👤
Provider Name / Credentials Updated August 05, 2016

Recorded as KRISTINA MOULDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Technician, Other

🟢
Initial NPI Registration & Enumeration August 05, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609320811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2016
Last Update: November 22, 2024
Sole Proprietor: No

Mailing Address

338 N Main St

Wayland, MI 493481039

Phone: 5416107104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.