Active NPI
Jennifer Richmond, BCBA
- Behavior Analyst
- Greenville, MI
National Provider Identifier
1205296027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401000757
- Practice address
- 507 S Nelson St
Greenville, MI 48838-2197 - Phone
- (616) 303-9787
- NPI assigned
- Mar 7, 2016
- Last updated
- Feb 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401000757 | MI | Primary |
| Behavior Analyst | 103K00000X | 1-17-27067 | MI |
Addresses
Primary practice location
507 S Nelson St
Greenville, MI 48838-2197
Mailing address
503 S Main St
Crystal, MI 48818-9657
Phone (989) 287-2699
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 |
|---|---|---|---|
| 7401000757 | MI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1205296027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 S MAIN ST",
"city": "CRYSTAL",
"state": "MI",
"postal_code": "488189657",
"telephone_number": "989-287-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S NELSON ST",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488382197",
"telephone_number": "616-303-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "JENNIFER",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401000757",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "1-17-27067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
- Marissa Reinhart, PT, DPT
- Kaitlin Louise Reinke, BSW
- Retirement Living Management of Greenville (Green Acres Greenville)
- Scott Ribitch, DDS
- Allison Elizabeth Richardson, OD
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 01527)
- Robert B. Hurley, DDS, PC
- Jillian R Robinson, DPT
- Steven C Roderick, PT
- Danaka Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.