Active NPI
Weslynn Fox, BCBA, LBA
- Behavior Analyst
- East Lansing, MI
National Provider Identifier
1144872755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001176
- Practice address
- 2875 Eyde Pkwy
East Lansing, MI 48823-5368 - Phone
- (844) 969-0252
- NPI assigned
- Jul 13, 2019
- Last updated
- Aug 24, 2021
- Sex
- Male
- 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 | 7401001176 | MI | Primary |
Addresses
Primary practice location
2875 Eyde Pkwy
East Lansing, MI 48823-5368
Mailing address
7189 Goodwin Rd
Lyons, MI 48851-9762
Other names 1
- Weslynn Greene
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7401001176 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Network Behavioral Health Services | Past | Accepting new patients | |
| Hope Network Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Grand Rapids, MI
- NPI 1104128602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1144872755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7189 GOODWIN RD",
"city": "LYONS",
"state": "MI",
"postal_code": "488519762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 EYDE PKWY",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235368",
"telephone_number": "844-969-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "WESLYNN",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-13",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401001176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WESLYNN",
"last_name": "GREENE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.