Individual provider · Type 1 NPI

Charles Larzelere

Behavior Technician · Southgate, MI

NPI number 1043084189 Active

Practice location

19275 Northline Rd
Southgate, MI 48195-2220

Call (734) 785-7716 Map

Mailing address

44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085

Other practice locations

  • 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085 · (734) 259-4620

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Behavior Technician: 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…

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About NPI 1043084189

Charles Larzelere's National Provider Identifier is 1043084189, issued on Nov 9, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Southgate, MI. The record was last updated on Aug 21, 2026.