NPIMap

Organization Active NPI

Family Nest ABA Therapy

  • Behavior Analyst
  • Rockford, MI
National Provider Identifier
1659966794
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FAMILY NEST ABA THERAPY
Practice address
7089 Black Forest Dr NE
Rockford, MI 49341-7815
Phone
(616) 808-7899
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Anna Xiao, M.ED, BCBANPI 1720579196
Title
Executive Director
Phone
(616) 808-7899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7089 Black Forest Dr NE
Rockford, MI 49341-7815

Mailing address

7089 Black Forest Dr NE
Rockford, MI 49341-7815
Phone (616) 808-7899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1659966794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7089 BLACK FOREST DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417815",
            "telephone_number": "616-808-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7089 BLACK FOREST DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417815",
            "telephone_number": "616-808-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NEST ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "XIAO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-808-7899",
        "authorized_official_credential": "M.ED,  BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.