Individual provider Active NPI

Lorretta Ann Robinson, BCBA, LBA

  • Behavior Analyst
  • Flint, MI
National Provider Identifier
1487022307
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000815 Issued in MI
Practice address
5400 Gateway Ctr Ste E
Flint, MI 48507-3939
Phone
(810) 545-7230
Fax
(810) 510-0988
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Other Technician 247200000X
Behavior Analyst 103K00000X 7401000815 MI Primary

Addresses

Primary practice location

5400 Gateway Ctr Ste E
Flint, MI 48507-3939

Mailing address

5400 Gateway Ctr Ste E
Flint, MI 48507-3939
Phone (810) 545-7230

Other practice location 1

5654 Rowley Blvd
Waterford, MI 48329-3245
Phone (248) 245-2936

Other practice location 2

5654 Rowley Blvd
Waterford, MI 48329-3245
Phone (248) 245-2936

Other practice location 3

229 N Sheldon Rd
Plymouth, MI 48170-1524
Phone (313) 278-4601

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
7401000815MIMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1487022307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 GATEWAY CTR STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073939",
            "telephone_number": "810-545-7230",
            "fax_number": "810-510-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 GATEWAY CTR STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073939",
            "telephone_number": "810-545-7230",
            "fax_number": "810-510-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5654 Rowley Blvd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483293245",
            "country_code": "US",
            "telephone_number": "248-245-2936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5654 Rowley Blvd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483293245",
            "country_code": "US",
            "telephone_number": "248-245-2936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 N Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701524",
            "country_code": "US",
            "telephone_number": "313-278-4601",
            "fax_number": "313-278-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LORRETTA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.