NPI 1013468065

Mackenzie Erin Clegg

Practitioner Behavior Analyst Grand Rapids, MI

Practice location

Address: 790 Fuller Ave NE, Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Mailing address: 14166 8th Ave, Marne, MI 49435-9759

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Michigan →

Other Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Michigan →

Registry record

NPI: 1013468065
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2016
Record last updated: 10 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.