Ryan Dickerson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-271340 Issued in MI

Practice address

44560 Ford Rd
Canton, MI 48187

Phone

(737) 680-8787

NPI assigned

Jun 14, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Home Support Services, Inc

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  • Northbrook, IL
  • NPI 1770818841

  Behavior Technician

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1013691377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44560 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "737-680-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43334 7 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481672249",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "RYAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "RBT-23-271340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riccardo Di Gianfilippo, DDS, MS
• Diabetes, Thyroid & Endocrinology Clinic PLLC
• Diamond Sweetness
• Dianne Hartman PLLC
• Jamie Dicarlo, PTA
• Erin M Dickinson, MS, RD
• Stacy Lynn Dickinson, BSW
• Natalia Diiacovo
• Amber M Dillon, LMSW, LCSW
• Patricia Dimaria

• Behavior Technician in Canton, MI
• Providers in Canton, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.