Tracey Jean Elliott, MT-BC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10031 Spencer Rd
Brighton, MI 48114

Phone

(810) 522-5510

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1265939987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 SPENCER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481143806",
            "telephone_number": "810-522-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 SPENCER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-522-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7794 Paint Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481976139",
            "country_code": "US",
            "telephone_number": "614-562-1570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7794 Paint Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481976139",
            "country_code": "US",
            "telephone_number": "614-562-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TRACEY",
        "middle_name": "JEAN",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ky Eidson, D.D.S., FACS
• Katherine Ajluni Eilers, LLMFT
• Mohamed El-Fouly, M.D.
• Fatima Elchawich, OD
• Maria Ellahie
• Simin Emadzadeh
• Embracing Courage, LLC
• Janet Kathleen Emmons, LLPC
• Empicare, Inc.
• Empowerize Therapy Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.