Active NPI
Yolanda Edwards
- Behavior Analyst
- Novi, MI
National Provider Identifier
1285091462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 41521 W 11 Mile Rd
Novi, MI 48375-1803 - Phone
- (248) 299-0030
- NPI assigned
- Jan 20, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 247200000X | MI | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
41521 W 11 Mile Rd
Novi, MI 48375-1803
Mailing address
25251 Marsh Creek Blvd
Woodhaven, MI 48183-6510
Phone (734) 334-0489
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 |
|---|---|---|---|
| 247200000X | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1285091462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25251 MARSH CREEK BLVD",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481836510",
"telephone_number": "734-334-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41521 W 11 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483751803",
"telephone_number": "248-299-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "YOLANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "247200000X",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.