Active NPI
Tavia Harris
- Behavior Technician
- Eastpointe, MI
National Provider Identifier
1114511573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 22851 Lexington Ave
Eastpointe, MI 48021-1990 - Phone
- (586) 218-8570
- NPI assigned
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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
22851 Lexington Ave
Eastpointe, MI 48021-1990
Mailing address
8241 Coolidge
Center Line, MI 48015-1749
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://members.centralreach.com/#account | Health Information Exchange (HIE) | |
| Other URL | https://members.centralreach.com/#account |
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": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1114511573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8241 COOLIDGE",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22851 LEXINGTON AVE",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480211990",
"telephone_number": "586-218-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TAVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://members.centralreach.com/#account",
"affiliation": "N",
"endpointDescription": "Central Reach Account",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "URL",
"address_1": "22851 Lexington Ave",
"city": "Eastpointe",
"state": "MI",
"country_code": "US",
"postal_code": "480211990",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://members.centralreach.com/#account",
"affiliation": "N",
"endpointDescription": "Central Reach",
"address_1": "22851 Lexington Ave",
"city": "Eastpointe",
"state": "MI",
"country_code": "US",
"postal_code": "480211990",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.