Individual provider · Type 1 NPI

Charlie Marie Planck, BCBA LBA

Behavior Analyst · Grand Rapids, MI

NPI number 1215577226 Active

Practice location

2787 Wilson Ave NW
Grand Rapids, MI 49534-7510

Mailing address

646 Twin Lake Dr
Hastings, MI 49058-7416

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X7401001971 (MI)

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 1215577226

Charlie Marie Planck, BCBA LBA's National Provider Identifier is 1215577226, issued on Jan 8, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 28, 2025.