Mary Serrato, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-38951 Issued in NU

Practice address

137 W Monroe St
Bangor, MI 49013-1332

Phone

(219) 313-3580

NPI assigned

Oct 19, 2022

Last updated

May 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1356067425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52906 BAY DR",
            "city": "GRAND JUNCTION",
            "state": "MI",
            "postal_code": "490569492",
            "telephone_number": "219-313-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W MONROE ST",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490131332",
            "telephone_number": "219-313-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRATO",
        "first_name": "MARY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-22-238976",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-24-38951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Bryan Roberts, DC
• Debra Jean Rose
• Bryan Safranski, MA LLP
• Shirley E Sanders, P.A.C.
• Alicia Scuiletti
• Rhonda L. Shinault, P.A.-C
• Debra Shine
• Laurie Ann Simko, RN
• Nashel Smith
• Nicole Smith, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.