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

Allyse Weidman, LLMSW

Individual provider Behavior Analyst · NPI 1184391864

Allyse Weidman, LLMSW is a Behavior Analyst in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5930 Lovers Ln Ste 1B
Portage, MI 49002-1673
Phone: (269) 205-8220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851117883 (MI)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1184391864
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedAugust 30, 2021
Last updated in NPPESAugust 9, 2026
Certification dateAugust 9, 2026
Mailing address2222 W Grand River Ave Ste A, Okemos, MI 48864-1604

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