Sheridan Arthur Cole

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1840 W Houghton Lake Dr Unit 2
Prudenville, MI 48651-9672

Phone

(989) 202-4900

NPI assigned

Nov 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rise Center for Autism

  • Clinic/Center
  • Prudenville, MI
  • NPI 1538698576
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1861096869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W HOUGHTON LAKE DR UNIT 2",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519672",
            "telephone_number": "989-202-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W HOUGHTON LAKE DR UNIT 2",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519672",
            "telephone_number": "989-202-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHERIDAN",
        "middle_name": "ARTHUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantel Autumn Cavasos
• Carol Lynn Chene
• Kwaylin Talise Coats
• Ashlee B Cohee
• Jonathan Lee Cohee, OT
• Jasmine Coleman
• Jacqueline Commyn
• David Bruce Cornell, RPH
• Jessica Nichole Costanza
• Ashlyn Cox

• Behavior Technician in Prudenville, MI
• Providers in Prudenville, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.