Individual provider Active NPI

Annabelle Renee Mathena

  • Behavior Technician
  • Bingham Farms, MI
National Provider Identifier
1356251961
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711
Phone
(248) 712-1129
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711

Mailing address

14855 Southview Dr
Southgate, MI 48195-3732
Phone (248) 712-1129

Other practice location 1

2674 W Jefferson Ave Ste 206
Trenton, MI 48183-2800
Phone (248) 712-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1356251961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 SOUTHVIEW DR",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953732",
            "telephone_number": "248-712-1129",
            "fax_number": "248-792-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255711",
            "telephone_number": "248-712-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2674 W Jefferson Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481832800",
            "country_code": "US",
            "telephone_number": "248-712-1129",
            "fax_number": "248-792-3249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHENA",
        "first_name": "ANNABELLE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.