Rebecca Anne Bumgardner, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB79060 Issued in MI

Practice address

4201 Varsity Drive
Suite C
Ann Arbor, MI 48108

Phone

(734) 926-0740

Fax

(734) 369-8851

NPI assigned

May 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creating Brighter Futures

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1750999249
  NPD
• Creating Brighter Futures, Inc

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1881939346
  NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1730535451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 VARSITY DRIVE",
            "address_2": "SUITE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-926-0740",
            "fax_number": "734-369-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 VARSITY DRIVE",
            "address_2": "SUITE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-926-0740",
            "fax_number": "734-369-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 S Gulley Rd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244407",
            "country_code": "US",
            "telephone_number": "313-278-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "BACB79060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Buller
• Seth Loren Buller, MD
• Timothy Sean Bullock II, MD
• Arnold Bulos, O.D.
• Erin E Bultema
• Lilian Bunag
• Amanda Margaret Bunagan, CRNA
• Julius Edwin Bunek II, D.D.S.
• Sabiha Sayed Bunek, D.D.S.
• Kara E Bunton, LMSW

• All providers in Ann Arbor, MI
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.