Active NPI
Elizabeth B Daoust
- Behavior Technician
- Fort Gratiot, MI
National Provider Identifier
1154050342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3847 Pine Grove Ave
Fort Gratiot, MI 48059-4265 - Phone
- (586) 228-9991
- NPI assigned
- Jun 6, 2022
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
3847 Pine Grove Ave
Fort Gratiot, MI 48059-4265
Mailing address
2521 N Elms Rd
Flushing, MI 48433-9423
Phone (866) 498-3909
Other practice location 1
623 W Warwick Dr Ste 2
Alma, MI 48801-1177
Phone (989) 285-1490
Other names 1
- Elizabeth B Nichols
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Plus | Current | Accepting new patients | |
| Mercy Plus Health Services | Current | Accepting new patients |
Locations
623 W Warwick Dr
Ste 2
Alma, MI 48801
Phone (989) 285-1490
2521 N Elms Rd
Flushing, MI 48433
Phone (810) 397-0586
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alma, MI
- NPI 1902481658
-
- Behavior Analyst
- Alma, MI
- NPI 1447851233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1154050342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 N ELMS RD",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484339423",
"telephone_number": "866-498-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3847 PINE GROVE AVE",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480594265",
"telephone_number": "586-228-9991"
}
],
"practiceLocations": [
{
"address_1": "623 W Warwick Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Alma",
"state": "MI",
"postal_code": "488011177",
"country_code": "US",
"telephone_number": "989-285-1490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAOUST",
"first_name": "ELIZABETH",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "NICHOLS",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Gratiot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.