Active NPI
Nicklas Reeb
- Behavior Analyst
- Howell, MI
National Provider Identifier
1396412946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1632 Town Commons Dr
Howell, MI 48855-6804 - Phone
- (517) 245-4778
- Fax
- (517) 698-8223
- NPI assigned
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1632 Town Commons Dr
Howell, MI 48855-6804
Mailing address
PO Box 12279
Lansing, MI 48901-2279
Phone (517) 245-4778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548814551 | Other | MI | BEHAVIOR ANALYSIS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@advanceabacare.com | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance ABA , LLC | Current | Accepting new patients | |
| Advance ABA , LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Dearborn, MI
- NPI 1548814551
-
- Speech-Language Pathologist
- Dearborn, MI
- NPI 1679300487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1396412946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12279",
"city": "LANSING",
"state": "MI",
"postal_code": "489012279",
"telephone_number": "517-245-4778",
"fax_number": "517-698-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 TOWN COMMONS DR",
"city": "HOWELL",
"state": "MI",
"postal_code": "488556804",
"telephone_number": "517-245-4778",
"fax_number": "517-698-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEB",
"first_name": "NICKLAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYSIS",
"identifier": "1548814551",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@advanceabacare.com",
"affiliation": "N",
"endpointDescription": "Direct Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1632 Town Commons Dr",
"city": "Howell",
"state": "MI",
"country_code": "US",
"postal_code": "488556804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.