Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brookside Pediatric Therapy LLC

Organization Behavior Analyst · NPI 1467225946

Brookside Pediatric Therapy LLC is a Behavior Analyst in Novi, Michigan. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
14
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39650 Orchard Hill Pl
Novi, MI 48375-5392
Phone: (248) 747-4263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Behavior Analyst Taxonomy 103K00000X
Assistant Behavior Analyst Taxonomy 106E00000X
Behavior Technician Taxonomy 106S00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Mental Health Occupational Therapist Taxonomy 225XM0800X
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Speech-Language Assistant Taxonomy 2355S0801X
Speech-Language Pathologist Taxonomy 235Z00000X
Case Management Agency Taxonomy 251B00000X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1467225946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yasser Mansour — Ceo · (313) 207-4645
NPI enumeratedNovember 6, 2023
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address39650 Orchard Hill Pl, Novi, MI 48375-5392

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