Active NPI
Casey Adams, RBT-18-57708
- Behavior Technician
- Berkley, MI
National Provider Identifier
1295229094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-57708
- Practice address
- 1881 Royal Ave
Berkley, MI 48072-4010 - Phone
- (248) 298-6439
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 18-57708 | MI | Primary |
Addresses
Primary practice location
1881 Royal Ave
Berkley, MI 48072-4010
Mailing address
1881 Royal Ave
Berkley, MI 48072-4010
Phone (248) 298-6439
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 |
|---|---|---|---|
| 18-57708 | MI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1295229094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 ROYAL AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480724010",
"telephone_number": "248-298-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 ROYAL AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480724010",
"telephone_number": "248-298-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CASEY",
"credential": "RBT-18-57708",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "18-57708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.