Active NPI
Shant Demirjian
- Behavior Analyst
- Plymouth, MI
National Provider Identifier
1124448592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 229 N Sheldon Rd
Plymouth, MI 48170-1524 - Phone
- (313) 278-4601
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
229 N Sheldon Rd
Plymouth, MI 48170-1524
Mailing address
229 N Sheldon Rd
Plymouth, MI 48170-1524
Other practice location 1
8200 Woodglen Ln
Unit 201
Downers Grove, IL 60516-4551
Phone (773) 969-6362
Other practice location 2
8200 Woodglen Ln
Unit 201
Downers Grove, IL 60516-4551
Phone (773) 969-6362
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": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124448592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 N SHELDON RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N SHELDON RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701524",
"telephone_number": "313-278-4601"
}
],
"practiceLocations": [
{
"address_1": "8200 Woodglen Ln",
"address_2": "Unit 201",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605164551",
"country_code": "US",
"telephone_number": "773-969-6362",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8200 Woodglen Ln",
"address_2": "Unit 201",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605164551",
"country_code": "US",
"telephone_number": "773-969-6362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMIRJIAN",
"first_name": "SHANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.