Individual provider Active NPI

Amanda Martin

  • Assistant Behavior Analyst
  • Saginaw, MI
National Provider Identifier
1962927533
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
7402000226 Issued in MI
Practice address
300 Saint Andrews Rd
Saginaw, MI 48638-5977
Phone
(989) 341-3653
NPI assigned
Aug 4, 2017
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 7402000226 MI Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

300 Saint Andrews Rd
Saginaw, MI 48638-5977

Mailing address

2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791

Other practice location 1

710 Columbus Ave
West Branch, MI 48661-8761
Phone (989) 701-2061

Other practice location 2

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030

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

State licenses

LicenseStateTypeSpecialty
7402000226MIMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Behavioral Respite Inc. CurrentSince Sep 13, 2020 Accepting new patients
ABA Pathways, LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

2805 S Industrial Hwy
Ste 100
Ann Arbor, MI 48104
Phone (734) 203-0181

300 Saint Andrews Rd
Saginaw, MI 48638
Phone (989) 341-3653

710 Columbus Ave
West Branch, MI 48661
Phone (989) 401-9020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1962927533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 S INDUSTRIAL HWY STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SAINT ANDREWS RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385977",
            "telephone_number": "989-341-3653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486618761",
            "country_code": "US",
            "telephone_number": "989-701-2061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41521 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751803",
            "country_code": "US",
            "telephone_number": "248-299-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MI",
            "license": "7402000226",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.