ANTONIA BRUCKMAN
NPI 1922890920
Behavior Technician in Portage, MI

Q: What is Antonia Bruckman's NPI number?

The NPI number for Antonia Bruckman is 1922890920. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Q: What is Antonia Bruckman's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Antonia Bruckman was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2025

5250 LOVERS LN STE 130, PORTAGE, MI 49002(269) 425-1536 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2025, May 19, 2025 (2 updates tracked since 2025).

On this page

About Antonia Bruckman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIA BRUCKMAN (NPI 1922890920) is an individual behavior technician in Portage, Michigan and active in the NPI registry since May 2025. She maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1922890920

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameANTONIA BRUCKMAN

Location Address5250 LOVERS LN STE 130Portage, MI 49002-1579

Mailing Address2805 S Industrial Hwy Ste 100Ann Arbor, MI 48104-6791

Phone(269) 425-1536

Sole ProprietorNo

Enumeration DateMay 19, 2025

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1922890920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Practice Location 1

Location 12805 S Industrial Hwy Ste 100Ann Arbor, MI 48104-6791 · Phone (734) 210-0717

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES WELTY

Behavior Technician