Tamisha Nicole Etchison

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

916F N West Ave Ste F
Jackson, MI 49202-3269

Phone

(517) 374-8066

NPI assigned

Jul 16, 2019

Sex

Female

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

Practice roles

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

• Residential Options, Inc.

  • Behavior Analyst
  • Lansing, MI
  • NPI 1336475532
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1023660446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SCIENCE PKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642560",
            "telephone_number": "517-927-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916F N WEST AVE STE F",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023269",
            "telephone_number": "517-374-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27777 Inkster Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483345326",
            "country_code": "US",
            "telephone_number": "248-299-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETCHISON",
        "first_name": "TAMISHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Espeland
• Karolys Espinal, LLMSW
• Alicia Espinosa
• Carlos Estrada, CRNA
• Rachel Estrada, CRNA
• Maya Khalil Eter, MD
• Jahnavi Ethakota
• Kara Lynn Ettenson, LMSW, MSW
• Eugene D Rohacz D P M P C
• Lee W Evans, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.