Marina Puszczyk, MED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001596 Issued in MI

Practice address

13412 W Star Dr
Shelby Township, MI 48315-2705

Phone

(586) 251-2556

Fax

(586) 884-0699

NPI assigned

Dec 13, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1922767409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 W STAR DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152705",
            "telephone_number": "586-251-2556",
            "fax_number": "586-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13412 W STAR DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152705",
            "telephone_number": "586-251-2556",
            "fax_number": "586-884-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSZCZYK",
        "first_name": "MARINA",
        "credential": "MED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.