Individual provider Active NPI

Llanet Baerga

  • Behavior Technician
  • Dearborn, MI
National Provider Identifier
1700377553
Registry record updated May 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6275 Schaefer Rd Ste 105
Dearborn, MI 48126-2210
Phone
(313) 652-6701
NPI assigned
May 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2018

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

6275 Schaefer Rd Ste 105
Dearborn, MI 48126-2210

Mailing address

19 Garner St
Pontiac, MI 48342-1332
Phone (248) 821-2563

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
Asd Latinos Unlimited LLC Past Accepting new patients

Organizations & group practices 1

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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527379200000",
    "number": "1700377553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GARNER ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421332",
            "telephone_number": "248-821-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 SCHAEFER RD STE 105",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262210",
            "telephone_number": "313-652-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERGA",
        "first_name": "LLANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2018-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2018; 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.