Individual provider Active NPI

Aidyn Laine Raaymakers

  • Behavior Technician
  • Grand Rapids, MI
National Provider Identifier
1871268375
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3809 Lake Eastbrook Blvd SE Ste a
Grand Rapids, MI 49546-5931
Phone
(616) 604-8492
Fax
(616) 604-8493
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

3809 Lake Eastbrook Blvd SE Ste a
Grand Rapids, MI 49546-5931

Mailing address

901 Grand Rapids St
Middleville, MI 49333-9498
Phone (269) 320-3562

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1871268375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRAND RAPIDS ST",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493339498",
            "telephone_number": "269-320-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 LAKE EASTBROOK BLVD SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465931",
            "telephone_number": "616-604-8492",
            "fax_number": "616-604-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAYMAKERS",
        "first_name": "AIDYN",
        "middle_name": "LAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.