Active NPI
Morgan Maitland
- Behavior Technician
- Green Bay, WI
National Provider Identifier
1003664178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1499 6TH St
Green Bay, WI 54304-2252 - Phone
- (920) 498-0117
- Fax
- (888) 493-0447
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1499 6TH St
Green Bay, WI 54304-2252
Mailing address
1499 6TH St
Green Bay, WI 54304-2252
Phone (920) 498-0117
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mmaitland@autism.innovativecounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1003664178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 6TH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543042252",
"telephone_number": "920-498-0117",
"fax_number": "888-493-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 6TH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543042252",
"telephone_number": "920-498-0117",
"fax_number": "888-493-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAITLAND",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mmaitland@autism.innovativecounseling.com",
"affiliation": "N",
"address_1": "1499 6th St",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543042252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.