Individual provider · Type 1 NPI

Mackenzie Erin Clegg

Behavior Analyst · Grand Rapids, MI

NPI number 1013468065 Active

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503-1918

Call (616) 336-3909 Map

Fax (616) 336-8830

Mailing address

14166 8th Ave
Marne, MI 49435-9759

Other practice locations

120 Stevens St SW, Grand Rapids, MI 49507-1526 · (855) 832-6727

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed
Other Technician	247200000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1013468065

Mackenzie Erin Clegg's National Provider Identifier is 1013468065, issued on Oct 14, 2016. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 10, 2025.