Active NPI
Danielle Marie Konja, TLLP
- Behavior Analyst
- South Lyon, MI
National Provider Identifier
1801304928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 6301017327
- Practice address
- 210 N Lafayette St
South Lyon, MI 48178-2048 - Phone
- (248) 465-3144
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 6301017327 | MI | Primary |
Addresses
Primary practice location
210 N Lafayette St
South Lyon, MI 48178-2048
Mailing address
210 N Lafayette St
South Lyon, MI 48178-2048
Phone (248) 437-1744
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 |
|---|---|---|---|
| 6301017327 | MI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1801304928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481782048",
"telephone_number": "248-437-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481782048",
"telephone_number": "248-465-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONJA",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"credential": "TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "6301017327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.