Active NPI
Brooke Harper
- Behavior Technician
- Kentwood, MI
National Provider Identifier
1720512916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-101867
- Practice address
- 1545 68TH St SE Ste 201
Kentwood, MI 49508-7896 - Phone
- (616) 253-6097
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-101867 | MI | Primary |
Addresses
Primary practice location
1545 68TH St SE Ste 201
Kentwood, MI 49508-7896
Mailing address
619 Lafayette St
Lowell, MI 49331-1126
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bharper@acornhealth.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-101867 | MI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1720512916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 LAFAYETTE ST",
"city": "LOWELL",
"state": "MI",
"postal_code": "493311126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 68TH ST SE STE 201",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495087896",
"telephone_number": "616-253-6097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "RBT-19-101867",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bharper@acornhealth.com",
"affiliation": "N",
"address_1": "1545 68th St SE Ste 201",
"city": "Kentwood",
"state": "MI",
"country_code": "US",
"postal_code": "495087896",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.