Individual provider Active NPI

Heather Ann Yenglin, BCABA

  • Assistant Behavior Analyst
  • Novi, MI
National Provider Identifier
1790335545
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-19-9574 Issued in MI
Practice address
21600 Novi Rd Ste 800
Novi, MI 48375-5608
Phone
(248) 305-6172
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-9574 MI Primary

Addresses

Primary practice location

21600 Novi Rd Ste 800
Novi, MI 48375-5608

Mailing address

4795 Sundew St
Commerce Township, MI 48382-2634
Phone (248) 467-4077

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
University Pediatricians Autism Center CurrentSince Sep 29, 2019 Accepting new patients

Locations

21600 Novi Rd
Ste 800
Novi, MI 48375
Phone (248) 305-6172

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1790335545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 SUNDEW ST",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822634",
            "telephone_number": "248-467-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD STE 800",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755608",
            "telephone_number": "248-305-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENGLIN",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MI",
            "license": "0-19-9574",
            "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 Sep 13, 2019; 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.