Active NPI
Ayanna Gillam
- Behavior Technician
- Southfield, MI
National Provider Identifier
1609791201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 23800 Northwestern Hwy Ste 190L
Southfield, MI 48075-7740 - Phone
- (124) 890-0216
- NPI assigned
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Primary |
Addresses
Primary practice location
23800 Northwestern Hwy Ste 190L
Southfield, MI 48075-7740
Mailing address
9935 Strathmoor St
Detroit, MI 48227-2716
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": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1609791201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9935 STRATHMOOR ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482272716",
"fax_number": "313-778-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 NORTHWESTERN HWY STE 190L",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480757740",
"telephone_number": "124-890-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLAM",
"first_name": "AYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.