Maxwell Short

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3600 N Saginaw Rd
Midland, MI 48640-2301

Phone

(989) 270-0611

NPI assigned

Jan 18, 2024

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

Other names 1

• Ashley Short Former name

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1912768896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 HERMANSAU ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402301",
            "telephone_number": "989-270-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SHORT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ling T Shih, MD
• Patricia Beth Shijka, LLMSW
• Joshua Shinkel, PHARMD
• Laurie L Shively, CRNA
• Kristin Michelle Short, CRNA
• Jessica Ellen Showers
• Oluwafemi Showole, D.O.
• Prabina Shrestha, MD
• Tara Lynn Shuler, BA
• Dayna Rae-Ann Shuster, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.