Active NPI
Reinier Meyreles
- Behavior Technician
- Troy, MI
National Provider Identifier
1861246670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24336652
- Practice address
- 3290 W Big Beaver Rd Ste 510
Troy, MI 48084-2917 - Phone
- (248) 792-6527
- NPI assigned
- Apr 16, 2024
- Sex
- Male
- 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 | 24336652 | FL | Primary |
Addresses
Primary practice location
3290 W Big Beaver Rd Ste 510
Troy, MI 48084-2917
Mailing address
1532 Alta Vista Dr
Owosso, MI 48867-1402
Phone (786) 285-6505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24336652 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1861246670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 ALTA VISTA DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671402",
"telephone_number": "786-285-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 W BIG BEAVER RD STE 510",
"city": "TROY",
"state": "MI",
"postal_code": "480842917",
"telephone_number": "248-792-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYRELES",
"first_name": "REINIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "24336652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.