Individual provider Active NPI

Renee Marie Rifenberg

  • Behavior Analyst
  • Novi, MI
National Provider Identifier
1740021005
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401002460 Issued in MI
Practice address
44225 W Twelve Mile Rd Ste C-106
Novi, MI 48377-2640
Phone
(248) 277-3005
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401002460 MI Primary

Addresses

Primary practice location

44225 W Twelve Mile Rd Ste C-106
Novi, MI 48377-2640

Mailing address

44225 W Twelve Mile Rd Ste C-106
Novi, MI 48377-2640

Other practice location 1

8175 Movie Dr
Brighton, MI 48116-7444
Phone (248) 277-3005

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

LicenseStateTypeSpecialty
7401002460MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
BWC Brighton LLC CurrentSince Jun 2, 2024 Accepting new patients
BWC Brighton LLC CurrentSince Jun 1, 2024 Accepting new patients
ABA Therapy, LLC Behavior Analyst Past Accepting new patients

Locations

8175 Movie Dr
Brighton, MI 48116
Phone (248) 277-3005

44225 W Twelve Mile Rd
Ste C-106
Novi, MI 48377
Phone (248) 277-3005

Organizations & group practices 3

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1740021005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44225 W TWELVE MILE RD STE C-106",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44225 W TWELVE MILE RD STE C-106",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772640",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8175 Movie Dr",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481167444",
            "country_code": "US",
            "telephone_number": "248-277-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFENBERG",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.