Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538677117 Individual Practitioner Male Practitioner

Brian Roman Iwanicki

Behavior Analyst • Portage, MI

Professional Overview & Biography Verified Profile Summary

Brian Iwanicki is a registered healthcare professional specializing in Behavior Analyst in Portage, MI. Practice services are available at 5250 LOVERS LN STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5250 Lovers Ln Ste 130

Portage, MI 490021579

Telephone 2694251536
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Portage, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
58 Specialists

Practicing in Portage, 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: 2024-05-21
Behavior Analyst Primary Specialty

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Karina Jones

Behavior Technician

NPI 1023957503
Clementine Augenstein

Behavior Technician

NPI 1093603714
Erinn Greenman

Behavior Technician

NPI 1114592920
Emalee Foote

Behavior Technician

NPI 1124853536
Madaline Deluca , BSW

Behavior Technician

NPI 1124861653

Bachelor of Social Work

Richard Riley

Behavior Technician

NPI 1134006315

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 21, 2024

Registered at 5250 LOVERS LN STE 130, PORTAGE, MI 490021579 (Tel: 2694251536)

📍
Updated Business Mailing Address May 21, 2024

Registered at PO BOX 663, LAKELAND, MI 481430663 (Tel: 7342030181)

NPI Profile Active January 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2018

Registered at 1265 HARTREY AVE, EVANSTON, IL 602021056 (Tel: 8472129373)

📍
Updated Business Mailing Address January 17, 2018

Registered at 4870 N TALMAN AVE APT 3C, CHICAGO, IL 606258156 (Tel: 8472129373)

👤
Provider Name / Credentials Updated January 17, 2018

Recorded as BRIAN IWANICKI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2018

Behavior Analyst

🟢
Initial NPI Registration & Enumeration January 17, 2018

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: 1538677117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2018
Last Update: May 21, 2024
Sole Proprietor: No

Mailing Address

Po Box 663

Lakeland, MI 481430663

Phone: 7342030181

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.