Provider Demographics
NPI:1174762918
Name:ROTHSTEIN, MINDY (PHD, BCBA-D)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:ROTHSTEIN
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29226 ORCHARD LAKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3046
Mailing Address - Country:US
Mailing Address - Phone:866-960-9898
Mailing Address - Fax:866-960-9724
Practice Address - Street 1:29226 ORCHARD LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3046
Practice Address - Country:US
Practice Address - Phone:866-960-9898
Practice Address - Fax:866-960-9724
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst