Active NPI
Rebecca K Bisson, B.A.
- Behavior Technician
- Kentwood, MI
National Provider Identifier
1457837205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-90656
- Practice address
- 346 68TH St SW
Kentwood, MI 49548-7179 - Phone
- (616) 202-5161
- Fax
- (248) 712-4381
- NPI assigned
- Jul 16, 2018
- Last updated
- Nov 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-90656 | AZ | Primary |
Addresses
Primary practice location
346 68TH St SW
Kentwood, MI 49548-7179
Mailing address
346 68TH St SW
Kentwood, MI 49548-7179
Phone (616) 202-5161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-90656 | Other | AZ | REGISTERED BEHAVIOR TECHNICIAN |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-90656 | AZ | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positiveaba | Past | Accepting new patients | |
| Honu Intervention, Inc. | Behavior Technician | Past | Accepting new patients |
| Positive ABA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Queen Creek, AZ
- NPI 1891175543
-
- Behavior Analyst
- Queen Creek, AZ
- NPI 1003064171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1457837205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 68TH ST SW",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495487179",
"telephone_number": "616-202-5161",
"fax_number": "248-712-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 68TH ST SW",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495487179",
"telephone_number": "616-202-5161",
"fax_number": "248-712-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSON",
"first_name": "REBECCA",
"middle_name": "K",
"name_prefix": "Miss",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "RBT-19-90656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED BEHAVIOR TECHNICIAN",
"identifier": "RBT-19-90656",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.