IndividualActive
Tania Purnomo
NPI 1457871048 · Behavior Technician · Ann Arbor, MI
Tania Purnomo is a Behavior Technician provider in Ann Arbor, MI (NPI 1457871048).
Provider details
- NPI number
- 1457871048
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4201 Varsity Dr
Ann Arbor, MI 48108-5005
Phone: (734) 926-0740
Street-level locationGet directions
Mailing address
411 E Washington St Apt 801
Ann Arbor, MI 48104-2052
Registry dates
- Enumerated
- 2017-06-23
- Last updated
- 2017-06-23
Frequently asked questions
- What is Tania Purnomo's NPI number?
- Tania Purnomo's National Provider Identifier (NPI) is 1457871048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tania Purnomo's specialty?
- Tania Purnomo is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tania Purnomo located?
- Tania Purnomo's practice location on file with NPPES is 4201 Varsity Dr, Ann Arbor, MI 48108-5005.
- What is Tania Purnomo's phone number?
- The practice phone number listed in the NPPES registry for Tania Purnomo is (734) 926-0740.
- Is Tania Purnomo's NPI active?
- Yes — Tania Purnomo's NPI (1457871048) is active in the NPPES registry as of the last update on 2017-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.