Leah Derris

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1363 Douglas Dr Ste 104
Traverse City, MI 49696-8980

Phone

(734) 377-2115

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1891255873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 FOREST RIDGE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864799",
            "telephone_number": "231-445-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 DOUGLAS DR STE 104",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968980",
            "telephone_number": "734-377-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRIS",
        "first_name": "LEAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Deponio, AGACNP-BC
• Derek Rice DDS PLLC
• Heather L Dermyer, PH.D.
• Rebecca Ann Derocha, MA, LPC, CAAC-R
• Barbara Deroshia
• Sara K Devaun, P.T.
• Nicole Devol, LLPC
• Cheryl Lynn Devries
• Stacey L Devries, CRNA
• Nicole Lynn Dewey, OT

• Behavior Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.