Active NPI
Brittany Nicole Maxwell
- Assistant Behavior Analyst
- Mount Clemens, MI
National Provider Identifier
1992596506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- M240098630625
- Practice address
- 191 North Ave
Mount Clemens, MI 48043-9703 - Phone
- (586) 228-9991
- NPI assigned
- May 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | M240098630625 | MI | Primary |
Addresses
Primary practice location
191 North Ave
Mount Clemens, MI 48043-9703
Mailing address
191 North Ave
Mount Clemens, MI 48043-9703
Phone (844) 676-0333
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
| License | State | Type | Specialty |
|---|---|---|---|
| M240098630625 | MI | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1992596506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480439703",
"telephone_number": "844-676-0333",
"fax_number": "586-284-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480439703",
"telephone_number": "586-228-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "MI",
"license": "M240098630625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.