Active NPI
Dana Bougie, BCBA
- Behavior Analyst
- Grand Blanc, MI
National Provider Identifier
1417514076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001822APP22
- Practice address
- 8285 S Saginaw St Ste 7
Grand Blanc, MI 48439-2436 - Phone
- (810) 321-3001
- NPI assigned
- May 20, 2019
- Last updated
- Jul 19, 2022
- 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 | 7401001822APP22 | MI | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
8285 S Saginaw St Ste 7
Grand Blanc, MI 48439-2436
Mailing address
400 Renaissance Ctr
Detroit, MI 48243-1502
Phone (810) 701-4259
Other practice location 1
400 Renaissance Ctr
Detroit, MI 48243-1502
Phone (810) 701-4259
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbougie@teampbs.com |
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 |
|---|---|---|---|
| 7401001822APP22 | MI | MD | Behavioral Analyst |
Interoperability endpoints
- dbougie@teampbs.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1417514076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RENAISSANCE CTR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482431502",
"telephone_number": "810-701-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8285 S SAGINAW ST STE 7",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392436",
"telephone_number": "810-321-3001"
}
],
"practiceLocations": [
{
"address_1": "400 Renaissance Ctr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482431502",
"country_code": "US",
"telephone_number": "810-701-4259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUGIE",
"first_name": "DANA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401001822APP22",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbougie@teampbs.com",
"affiliation": "N",
"address_1": "400 Renaissance Ctr",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482431502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.