Individual provider Active NPI

Briana Marie Peru

  • Behavior Technician
  • Alma, MI
National Provider Identifier
1639770878
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
623 W Warwick Dr Ste 2
Alma, MI 48801-1177
Phone
(989) 285-1490
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

623 W Warwick Dr Ste 2
Alma, MI 48801-1177

Mailing address

3300 E Deerfield Rd Apt D287
Mount Pleasant, MI 48858-4587
Phone (517) 945-1411

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
Mercy Plus CurrentSince Mar 21, 2021 Accepting new patients
Mercy Plus Health Services Behavior Analyst CurrentSince Nov 8, 2020 Accepting new patients

Locations

623 W Warwick Dr
Ste 2
Alma, MI 48801
Phone (989) 285-1490

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.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1639770878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E DEERFIELD RD APT D287",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584587",
            "telephone_number": "517-945-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W WARWICK DR STE 2",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011177",
            "telephone_number": "989-285-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERU",
        "first_name": "BRIANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.