Stefani Jin Urlaub

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

405 W Greenlawn Ave Ste 200
Lansing, MI 48910-2889

Phone

(248) 621-4792

NPI assigned

Oct 30, 2019

Reactivated

Nov 18, 2019

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

Other identifiers 1

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1689218893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 KEDZIE ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234533",
            "telephone_number": "586-914-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102889",
            "telephone_number": "248-621-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URLAUB",
        "first_name": "STEFANI",
        "middle_name": "JIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-11-18",
        "deactivation_date": "2019-10-31",
        "reactivation_date": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerri L Upright, RN
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• Dominick John Utrie, DO
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• Behavior Technician in Lansing, MI
• Providers in Lansing, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.