Avery Thomas Dull

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1524 E Broadway St
Mount Pleasant, MI 48858-2933

Phone

(989) 854-8334

NPI assigned

Aug 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1689286106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 W PERE MARQUETTE RD",
            "city": "COLEMAN",
            "state": "MI",
            "postal_code": "486189404",
            "telephone_number": "989-708-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E BROADWAY ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582933",
            "telephone_number": "989-854-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULL",
        "first_name": "AVERY",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Raymond Drenth Jr., NURSE PRACTITIONER
• Daniel Drevon, PH.D.
• Paula M Druskins-Haddad, D.D.S.
• Nathalie Dube, DDS
• Brian Duffy
• Brenda Jane Dunham, LPC
• Samantha Lyn Dush
• Robin Kay Duthie, M.A., L.P.C.
• Donal James Dwyer V, LPC
• Julie Dye, LLPC

• Behavior Technician in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.