Active NPI
Rachel Rebecca
- Behavior Technician
- Plymouth, MI
National Provider Identifier
1578019659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 229 N Sheldon Rd
Plymouth, MI 48170-1524 - Phone
- (313) 278-4601
- Fax
- (313) 278-4601
- NPI assigned
- Aug 29, 2016
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Other Technician | 247200000X |
Addresses
Primary practice location
229 N Sheldon Rd
Plymouth, MI 48170-1524
Mailing address
229 N Sheldon Rd
Plymouth, MI 48170-1524
Phone (313) 278-4601
Other practice location 1
32100 Telegraph Rd
Suite 185
Bingham Farms, MI 48025-2452
Phone (248) 712-4266
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": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578019659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 N SHELDON RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701524",
"telephone_number": "313-278-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N SHELDON RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701524",
"telephone_number": "313-278-4601",
"fax_number": "313-278-4601"
}
],
"practiceLocations": [
{
"address_1": "32100 Telegraph Rd",
"address_2": "Suite 185",
"address_purpose": "LOCATION",
"city": "Bingham Farms",
"state": "MI",
"postal_code": "480252452",
"country_code": "US",
"telephone_number": "248-712-4266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REBECCA",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.