Individual provider Active NPI

Erica Sadie Treadwell

  • Behavior Technician
  • Bingham Farms, MI
National Provider Identifier
1780290999
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
32100 Telegraph Rd
Bingham Farms, MI 48025-2452
Phone
(248) 712-4266
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Mailing address

44550 Bayview Ave Apt 13106
Clinton Township, MI 48038-7054
Phone (586) 876-5760

Other practice location 1

44550 Bayview Ave Apt 13106
Clinton Township, MI 48038-7054
Phone (586) 876-5760

Other practice location 2

44550 Bayview Ave Apt 13106
Clinton Township, MI 48038-7054
Phone (586) 876-5760

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

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1780290999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44550 BAYVIEW AVE APT 13106",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387054",
            "telephone_number": "586-876-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252452",
            "telephone_number": "248-712-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44550 Bayview Ave Apt 13106",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480387054",
            "country_code": "US",
            "telephone_number": "586-876-5760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44550 Bayview Ave Apt 13106",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480387054",
            "country_code": "US",
            "telephone_number": "586-876-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "ERICA",
        "middle_name": "SADIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.