Michaela Columbia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

110 Kimball Ave Ste 125
South Burlington, VT 05403-6851

Phone

(603) 471-2522

NPI assigned

Jun 5, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Bridges LLC

  • Behavior Analyst
  • Bedford, NH
  • NPI 1205131596
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2022.

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1346864360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROUTE 101 STE 11",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105031",
            "telephone_number": "603-471-2522",
            "fax_number": "877-754-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KIMBALL AVE STE 125",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036851",
            "telephone_number": "603-471-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUMBIA",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Collett, LICSW
• David P Collette, O.D.
• Kelley Collier
• James P Collins, LCMHC
• Julia Collins, DDS
• Community Health Centers of Burlington Inc
• Concentra Health Services, Inc.
• Brittany Clarissa Conlon
• Connective Physical Therapy LLC
• Alessandra Keely Conner, OD

• All providers in South Burlington, VT
• Behavior Technician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.