Individual provider Active NPI

Adriana Prill, BCABA

  • Assistant Behavior Analyst
  • Lapeer, MI
National Provider Identifier
1417639923
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
7402000213 Issued in MI
Practice address
1100 W Newark Rd
Lapeer, MI 48446-9449
Phone
(810) 358-0373
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 7402000213 MI Primary

Addresses

Primary practice location

1100 W Newark Rd
Lapeer, MI 48446-9449

Mailing address

1100 W Newark Rd
Lapeer, MI 48446-9449
Phone (810) 358-0373

Other practice location 1

1870 W Clarkston Rd
Lake Orion, MI 48362-2269
Phone (810) 358-0373

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

LicenseStateTypeSpecialty
7402000213MIMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1417639923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469449",
            "telephone_number": "810-358-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469449",
            "telephone_number": "810-358-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 W Clarkston Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622269",
            "country_code": "US",
            "telephone_number": "810-358-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRILL",
        "first_name": "ADRIANA",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MI",
            "license": "7402000213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.