Active NPI
Brittany Nicole Boineau, MA, BCBA
- Behavior Analyst
- Plymouth, MI
National Provider Identifier
1124514906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31246
- Practice address
- 46200 Port St
Plymouth, MI 48170-6048 - Phone
- (734) 454-0866
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 1-18-31246 | MI | Primary |
Addresses
Primary practice location
46200 Port St
Plymouth, MI 48170-6048
Mailing address
4195 Filbert St
Wayne, MI 48184-1820
Phone (772) 584-2508
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1124514906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4195 FILBERT ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841820",
"telephone_number": "772-584-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46200 PORT ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706048",
"telephone_number": "734-454-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOINEAU",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "1-18-31246",
"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 Jul 5, 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.