Active NPI
Aspen Raine Kidd
- Behavior Technician
- Mount Pleasant, MI
National Provider Identifier
1215857263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 405 S Mission St Ste B
Mount Pleasant, MI 48858-2872 - Phone
- (989) 815-2157
- NPI assigned
- Jul 20, 2026
- 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 | MI | Primary |
Addresses
Primary practice location
405 S Mission St Ste B
Mount Pleasant, MI 48858-2872
Mailing address
204 E 4TH St
Clare, MI 48617-1544
Phone (231) 667-4233
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 |
|---|---|---|---|
| Edify Behavioral Applications LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Mount Pleasant, MI
- NPI 1982406153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1215857263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E 4TH ST",
"city": "CLARE",
"state": "MI",
"postal_code": "486171544",
"telephone_number": "231-667-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S MISSION ST STE B",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582872",
"telephone_number": "989-815-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "ASPEN",
"middle_name": "RAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.