Individual provider Active NPI

Alexis Danielle Bogart-Venenziano

  • Behavior Analyst
  • Bad Axe, MI
National Provider Identifier
1023700119
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401003377 Issued in MI
Practice address
181 E Huron Ave
Bad Axe, MI 48413-1314
Phone
(810) 214-2641
NPI assigned
May 25, 2023
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401003377 MI Primary

Addresses

Primary practice location

181 E Huron Ave
Bad Axe, MI 48413-1314

Mailing address

181 E Huron Ave
Bad Axe, MI 48413-1314
Phone (810) 214-2641

Other practice location 1

590 N Port Crescent St Ste B
Bad Axe, MI 48413-1209
Phone (810) 214-2641

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

State licenses

LicenseStateTypeSpecialty
7401003377MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Future Focused Therapies LLC Behavior Analyst CurrentSince Nov 17, 2024 Accepting new patients

Locations

181 E Huron Ave
Bad Axe, MI 48413
Phone (810) 214-2641

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1023700119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131314",
            "telephone_number": "810-214-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131314",
            "telephone_number": "810-214-2641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 N Port Crescent St Ste B",
            "address_purpose": "LOCATION",
            "city": "Bad Axe",
            "state": "MI",
            "postal_code": "484131209",
            "country_code": "US",
            "telephone_number": "810-214-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGART-VENENZIANO",
        "first_name": "ALEXIS",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401003377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.