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Active NPI 1982010567 Individual Practitioner Female Practitioner

Larissa Heise , LMSW, LBA, BCBA

Behavior Analyst • Southfield, MI

Professional Overview & Biography Verified Profile Summary

Larissa Heise, LMSW, LBA, BCBA is a registered healthcare professional specializing in Behavior Analyst in Southfield, MI. Practice services are available at 24445 NORTHWESTERN HWY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24445 Northwestern Hwy Ste 100

Southfield, MI 480752436

Telephone 2484837804
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Southfield, MI

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

Practicing in Southfield, 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: 2020-03-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 1-16-21863

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License MI 6801096411

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Practice Locations

19855 Outer Dr

Dearborn, MI 481242022

Phone: 3133591977

Practice Associates & Co-Workers

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

40 Associated Practitioners
Madelyn Mastenbrook

Case Manager/Care Coordinator

NPI 1013869858
Jessica Silber

Social Worker - Clinical

NPI 1043841273
Ericka Fletcher , BT

Behavior Technician

NPI 1043945702
Alrika Jackson , LLMSW

Social Worker - Clinical

NPI 1053958470

Limited Licensed Master Social Worker

Nile Wilson

Case Manager/Care Coordinator

NPI 1073114153
Lisa Crane , MA, LPC, NCC

Counselor - Professional

NPI 1073867891

Master of Arts, Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location March 13, 2020

Registered at 24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 480752436 (Tel: 2484837804)

📍
Updated Business Mailing Address March 13, 2020

Registered at 24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 480752436 (Tel: 2484837804)

👤
Provider Name / Credentials Updated March 13, 2020

Recorded as LARISSA HEISE, LMSW, LBA, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2020

Behavior Analyst (License #1-16-21863 in MI)

📍
Updated Practice Location June 18, 2019

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

📍
Updated Business Mailing Address June 18, 2019

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2017

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)

📍
Updated Business Mailing Address July 19, 2017

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: (313) 831-5535)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as LARISSA HEISE, LMSW, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Behavior Analyst (License #1-16-21863 in MI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Social Worker (License #6801096411 in MI)

NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2016

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)

📍
Updated Business Mailing Address April 06, 2016

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)

👤
Provider Name / Credentials Updated April 06, 2016

Recorded as LARISSA HEISE, LMSW, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Social Worker (License #6801096411 in MI)

🟢
Initial NPI Registration & Enumeration July 03, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982010567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2014
Last Update: March 13, 2020
Sole Proprietor: No

Mailing Address

24445 Northwestern Hwy Ste 100

Southfield, MI 480752436

Phone: 2484837804

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.