Kiersten Cook

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-78183 Issued in AZ

Practice address

27777 Inkster Rd
Farmington Hills, MI 48334-5310

Phone

(248) 436-4400

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1851937403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 E Baseline Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342472",
            "country_code": "US",
            "telephone_number": "480-612-0395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KIERSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-19-78183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kiresten@abrighteravenue.org",
            "affiliation": "N",
            "address_1": "2451 E Baseline Rd Ste 420",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852342472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Cook
• Journey Cook
• Kayla Cook
• Kellie Cook
• Keyone Cook
• Laterica Cook
• Laura Cook
• Lauren Cook
• Lisa Cook
• Lucy Cook

• Behavior Technician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.