Active NPI
Maija Marika Reisterer, BCBA
- Behavior Analyst
- Pinckney, MI
National Provider Identifier
1851663447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9520 Bluewater Dr.
Pinckney, MI 48169 - Phone
- (810) 599-2129
- NPI assigned
- Jan 30, 2012
- 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 | Primary |
Addresses
Primary practice location
9520 Bluewater Dr.
Pinckney, MI 48169
Mailing address
PO Box 663
Lakeland, MI 48143-0663
Phone (810) 559-2129
Other practice location 1
10176 Corporate Square Dr Ste 220
Saint Louis, MO 63132-2924
Phone (314) 395-9375
Other names 1
- Maija Marika Graudins
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 |
|---|---|---|---|
| Enhanced Behavioral Respite Inc. | Past | Accepting new patients | |
| ABA Pathways, LLC | Behavior Analyst | 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 Analyst
- Ann Arbor, MI
- NPI 1770838468
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Saginaw, MI
- NPI 1619503356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1851663447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 663",
"city": "LAKELAND",
"state": "MI",
"postal_code": "481430663",
"telephone_number": "810-559-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 BLUEWATER DR.",
"city": "PINCKNEY",
"state": "MI",
"postal_code": "48169",
"telephone_number": "810-599-2129"
}
],
"practiceLocations": [
{
"address_1": "10176 Corporate Square Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631322924",
"country_code": "US",
"telephone_number": "314-395-9375",
"fax_number": "314-395-9381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REISTERER",
"first_name": "MAIJA",
"middle_name": "MARIKA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAIJA",
"last_name": "GRAUDINS",
"middle_name": "MARIKA",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pinckney, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.