Ashley Ann Behrends

Key facts

NPI

1295448017

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

346 68TH St SW
Grand Rapids, MI 49548-7179

Phone

(248) 712-4381

NPI assigned

Dec 27, 2022

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2024.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1295448017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16953 GORDON PATH",
            "address_2": "APT 204",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "248-505-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 68TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487179",
            "telephone_number": "248-712-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRENDS",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11705671",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

• Behavioral Resources and Institute for Neuropsychological Services
• Andrew M. Behler, D.O.,M.P.H.
• Aurora Gaea Behling
• Alexander M Behm, M.D.
• Rebekah Behmlander, B.S.
• Randi Behrens
• Sarah Marie Behrens, PHYSICAL THERAPIST
• Lauren Elizabeth Behrenwald
• Meghan Ruth Behrmann, M.D.
• Alyssa Anne Beil, LLMSW

All providers in Grand Rapids, MI · Behavior Technician in Michigan