Individual provider Active NPI

Mareona Moncrief

  • Behavior Technician
  • Saginaw, MI
National Provider Identifier
1841078425
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
203 S Washington Ave Ste 30
Saginaw, MI 48607-1217
Phone
(989) 209-3245
Fax
(989) 209-3246
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

203 S Washington Ave Ste 30
Saginaw, MI 48607-1217

Mailing address

3599 E Southgate Dr
Midland, MI 48640-8507
Phone (989) 225-7101

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
Flourish Services CurrentSince Sep 17, 2023 Accepting new patients

Locations

203 S Washington Ave
Ste 30
Saginaw, MI 48607
Phone (989) 209-3245

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1841078425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 E SOUTHGATE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408507",
            "telephone_number": "989-225-7101",
            "fax_number": "989-209-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WASHINGTON AVE STE 30",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071217",
            "telephone_number": "989-209-3245",
            "fax_number": "989-209-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "MAREONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

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