Active NPI
Michelle Giannosa, RBT
- Behavior Technician
- Traverse City, MI
National Provider Identifier
1861952129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 515 W 14TH St Unit D
Traverse City, MI 49684-4059 - Phone
- (800) 503-4150
- NPI assigned
- Mar 22, 2019
- 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
515 W 14TH St Unit D
Traverse City, MI 49684-4059
Mailing address
515 W 14TH St Unit D
Traverse City, MI 49684-4059
Phone (800) 503-4150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G520603734770 | Other | MI | DRIVER'S LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1861952129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W 14TH ST UNIT D",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844059",
"telephone_number": "800-503-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W 14TH ST UNIT D",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844059",
"telephone_number": "800-503-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANNOSA",
"first_name": "MICHELLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "G520603734770",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.