Brianna Back

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7152001273 Issued in MI

Practice address

515 E Glenlord Rd
Saint Joseph, MI 49085-9342

Phone

(269) 926-3626

NPI assigned

Sep 16, 2026

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1588575674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 N MAIN ST APT 26",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GLENLORD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859342",
            "telephone_number": "269-926-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152001273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Aukerman
• Cassandra Dawn Ault, PA
• Julia E Austen, PHARMD
• Avalon Consulting, Inc. (Avalon Case Management, Inc.)
• Axon Psychology Group, PC
• Margaretha Baestaens, DPT
• Bidisha Bagchi
• Kourosh Baghelai, M.D.
• Abigail Jane Baker, DO
• Alina McBride Baltazar, MSW

• Speech-Language Pathologist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.