Active NPI
Anne Boardman, BCBA
- Behavior Analyst
- Farmington Hills, MI
National Provider Identifier
1508261074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20077
- Practice address
- 27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326 - Phone
- (248) 436-4366
- NPI assigned
- Oct 27, 2014
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | ||
| Behavior Analyst | 103K00000X | 1-15-20077 | MI | Primary |
Addresses
Primary practice location
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 436-4366
Other practice location 1
11575 E Laketowne Dr
Albertville, MN 55301-4348
Phone (248) 299-0030
Other practice location 2
2974 South Blvd W
Rochester Hills, MI 48309-4057
Phone (248) 835-7459
Other names 1
- Anne Hirsch
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1508261074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345326",
"telephone_number": "248-436-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345326",
"telephone_number": "248-436-4366"
}
],
"practiceLocations": [
{
"address_1": "11575 E Laketowne Dr",
"address_purpose": "LOCATION",
"city": "Albertville",
"state": "MN",
"postal_code": "553014348",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2974 South Blvd W",
"address_purpose": "LOCATION",
"city": "Rochester Hills",
"state": "MI",
"postal_code": "483094057",
"country_code": "US",
"telephone_number": "248-835-7459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOARDMAN",
"first_name": "ANNE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "1-15-20077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "HIRSCH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.