Mariah Burch – Behavior Technician

Key facts

NPI: 1497596472
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
Practice address: 6102 Abbot Rd
East Lansing, MI 48823-1410
Phone: (517) 721-1313
Fax: (616) 259-4835
NPI assigned: Jun 4, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Next Gen Therapy LLC Behavior Analyst · East Lansing, MI · NPI 1265933832

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Next Gen Therapy LLC		Current since Jun 9, 2024	Accepting new patients

Locations

6102 Abbot Rd
East Lansing, MI 48823
Phone (517) 721-1313

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X			Yes

Addresses

Primary practice location

6102 Abbot Rd
East Lansing, MI 48823-1410

Mailing address

6102 Abbot Rd
East Lansing, MI 48823-1410
Phone (517) 721-1313

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2024.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1497596472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 ABBOT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231410",
            "telephone_number": "517-721-1313",
            "fax_number": "616-259-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 ABBOT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231410",
            "telephone_number": "517-721-1313",
            "fax_number": "616-259-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

All providers in East Lansing, MI · Behavior Technician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.