Active NPI
Emily Beltran Herrera IX
- Behavior Technician
- Farmington Hills, MI
National Provider Identifier
1407479488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312 - Phone
- (248) 436-4400
- NPI assigned
- May 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB579074 | AZ | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Phone (248) 436-4400
Other practice location 1
4501 N Camino Del Obispo
Tucson, AZ 85718-6605
Phone (520) 302-1159
Other practice location 2
4501 N Camino Del Obispo, 85718
Tucson, Arizona 85618
AM
Phone (520) 202-1109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB5709074 | Other | AZ | RBT |
Other names 1
- Miss Emily Janis Beltran Herrera III
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB579074 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1407479488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345312",
"telephone_number": "248-436-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345312",
"telephone_number": "248-436-4400"
}
],
"practiceLocations": [
{
"address_1": "4501 N Camino Del Obispo",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857186605",
"country_code": "US",
"telephone_number": "520-302-1159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4501 N Camino Del Obispo, 85718",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "Arizona",
"postal_code": "85618",
"country_code": "AM",
"telephone_number": "520-202-1109",
"country_name": "Armenia",
"address_type": "FGN"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "EMILY",
"middle_name": "BELTRAN",
"name_prefix": "Miss",
"name_suffix": "IX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-25",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BACB579074",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "BACB5709074",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "BELTRAN HERRERA",
"middle_name": "JANIS",
"prefix": "MISS",
"suffix": "III",
"credential": "ETC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.