Jaz'Marae L Anderson-Ellerson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2111 Golfside Rd
Ypsilanti, MI 48197-1145

Phone

(248) 846-8700

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1356118921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 BLUEWATER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481981017",
            "telephone_number": "734-355-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 GOLFSIDE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971145",
            "telephone_number": "248-846-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-ELLERSON",
        "first_name": "JAZ'MARAE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruthy Amkraut, MD
• Emily A. Amoe, NP
• Alvin Anand
• Anchor Consulting Services
• Christopher Andersen, CRNA
• Harry L Anderson III, MD
• Heather Renee Anderson, OTR
• Jaclyn Nicole Anderson, PA
• Jeweletter Marie Anderson, LMSW, CAADC
• Jill Cavillo Anderson, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.