Active NPI
Miranda Schaffer
- Behavior Technician
- Ann Arbor, MI
National Provider Identifier
1205459989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- CBF
Ann Arbor, MI 48108-4810 - Phone
- (734) 926-0740
- NPI assigned
- May 28, 2020
- 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
CBF
Ann Arbor, MI 48108-4810
Mailing address
4201 Varsity Dr
Ann Arbor, MI 48108-5005
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 |
|---|---|---|---|
| Creating Brighter Futures | Current | Accepting new patients | |
| Creating Brighter Futures, Inc | Behavior Analyst | Past | Accepting new patients |
Locations
4201 Varsity Dr
Ann Arbor, MI 48108
Phone (734) 926-0740
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.
-
- Speech-Language Pathologist
- Ann Arbor, MI
- NPI 1891411542
-
- Behavior Analyst
- Ann Arbor, MI
- NPI 1881939346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1205459989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 VARSITY DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481085005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CBF",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481084810",
"telephone_number": "734-926-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.