Individual provider Active NPI

Brooke Alexandra Baughman

  • Behavior Technician
  • Allendale, MI
National Provider Identifier
1053227199
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
2703220 Issued in MI
Practice address
4815 Becker Dr Apt E101
Allendale, MI 49401-8622
Phone
(269) 548-5057
NPI assigned
Aug 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 2703220 MI Primary

Addresses

Primary practice location

4815 Becker Dr Apt E101
Allendale, MI 49401-8622

Mailing address

4815 Becker Dr Apt E101
Allendale, MI 49401-8622
Phone (269) 548-5057

Other practice location 1

16760 Lincoln St
Grand Haven, MI 49417-8864
Phone (616) 935-3300

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": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1053227199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 BECKER DR APT E101",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018622",
            "telephone_number": "269-548-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 BECKER DR APT E101",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018622",
            "telephone_number": "269-548-5057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16760 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494178864",
            "country_code": "US",
            "telephone_number": "616-935-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "BROOKE",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "2703220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

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