Active NPI
Amy O'Brien
- Behavior Analyst
- Troy, MI
National Provider Identifier
1184034233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 6801046860
- Practice address
- 3929 Ruthland Dr
Troy, MI 48084-1727 - Phone
- (248) 765-6424
- NPI assigned
- Apr 29, 2014
- 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 Analyst | 103K00000X | 6801046860 | MI | Primary |
Addresses
Primary practice location
3929 Ruthland Dr
Troy, MI 48084-1727
Mailing address
3929 Ruthland Dr
Troy, MI 48084-1727
Phone (248) 765-6424
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801046860 | MI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1184034233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3929 RUTHLAND DR",
"city": "TROY",
"state": "MI",
"postal_code": "480841727",
"telephone_number": "248-765-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 RUTHLAND DR",
"city": "TROY",
"state": "MI",
"postal_code": "480841727",
"telephone_number": "248-765-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "6801046860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.