Active NPI
Christine Michener, RBT
- Behavior Technician
- Paw Paw, MI
National Provider Identifier
1851061618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 600 E Michigan Ave
Paw Paw, MI 49079-1354 - Phone
- (989) 702-2082
- Fax
- (989) 355-1398
- NPI assigned
- Sep 14, 2021
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
600 E Michigan Ave
Paw Paw, MI 49079-1354
Mailing address
3949 N River Rd
Freeland, MI 48623-8856
Phone (989) 702-2082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010000 | Other | MI | ABA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | information@spectrumautismcenter.com | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Autism Center LLC | Past | Accepting new patients | |
| Spectrum Autism Center | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Technician
- Freeland, MI
- NPI 1457898124
-
- Behavior Analyst
- Freeland, MI
- NPI 1275916363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1851061618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 N RIVER RD",
"city": "FREELAND",
"state": "MI",
"postal_code": "486238856",
"telephone_number": "989-702-2082",
"fax_number": "989-355-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E MICHIGAN AVE",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791354",
"telephone_number": "989-702-2082",
"fax_number": "989-355-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHENER",
"first_name": "CHRISTINE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABA",
"identifier": "010000",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "information@spectrumautismcenter.com",
"affiliation": "N",
"endpointDescription": "Spectrum Autism Center",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "600 E Michigan Ave",
"city": "Paw Paw",
"state": "MI",
"country_code": "US",
"postal_code": "490791354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.