Elizabeth Anne Wells

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655

Phone

(989) 401-1239

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1265199822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 BRIDGEPORT VILLAGE SQUARE DR STE 2",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229655",
            "telephone_number": "989-401-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Vincent Volesky, MA, LLP
• Jahni Walker
• Madeline Grace Way
• Renay Kathleen Weigle
• Tamaya Chanall Welch
• Linda B West, BA
• Angelica Arthrina Willett
• Brittany Williams
• Jacqueline Williams, LLPC
• Kelsey Williams

• Behavior Technician in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.