Individual provider Active NPI

Emma L Borgula

  • Behavior Technician
  • Shelby Township, MI
National Provider Identifier
1619781812
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13019 Pauline Dr
Shelby Township, MI 48315-3122
Phone
(586) 207-9255
Fax
(248) 403-8506
NPI assigned
Feb 6, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Spectrum Therapy LLC. Behavior Technician CurrentSince Feb 9, 2025 Accepting new patients
Voice and Motion Therapy LLC. CurrentSince Feb 9, 2025 Accepting new patients

Locations

13019 Pauline Dr
Shelby Township, MI 48315
Phone (586) 207-9255

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

13019 Pauline Dr
Shelby Township, MI 48315-3122

Mailing address

13019 Pauline Dr
Shelby Township, MI 48315-3122
Phone (586) 207-9255

Other names 1

NPPES NPI Registry
  • Emma L Renusch Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2025.

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1619781812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13019 PAULINE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153122",
            "telephone_number": "586-207-9255",
            "fax_number": "248-403-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13019 PAULINE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153122",
            "telephone_number": "586-207-9255",
            "fax_number": "248-403-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGULA",
        "first_name": "EMMA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "RENUSCH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.