Individual provider Active NPI

Maryam Ahmed, BCBA

  • Behavior Analyst
  • Ann Arbor, MI
National Provider Identifier
1376013938
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46535 Issued in MI
Practice address
2890 Carpenter Rd Ste 1100
Ann Arbor, MI 48108-1190
Phone
(734) 929-5224
NPI assigned
Nov 27, 2018
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-46535 MI Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

2890 Carpenter Rd Ste 1100
Ann Arbor, MI 48108-1190

Mailing address

1175 Stacy Dr
Canton, MI 48188-1425
Phone (734) 478-7137

Other practice location 1

2010 N. First St. #402
San Jose, CA 95131
Phone (888) 428-3223

Other practice location 2

1171 Homestead Rd Ste 250
Santa Clara, CA 95050-5485
Phone (510) 268-8120

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC Behavior Analyst CurrentSince Jan 3, 2021 Accepting new patients
Karing Kids Behavior Analyst PastSince Mar 1, 2022 Accepting new patients

Locations

2890 Carpenter Rd
Ste 1100
Ann Arbor, MI 48108
Phone (734) 292-5224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25538/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1376013938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 STACY DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881425",
            "telephone_number": "734-478-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 1100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081190",
            "telephone_number": "734-929-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 N. First St. #402",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95131",
            "country_code": "US",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1171 Homestead Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950505485",
            "country_code": "US",
            "telephone_number": "510-268-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MARYAM",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-20-46535",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.