IndividualActive
Avery Mickelson
NPI 1053266122 · Behavior Technician · Grand Rapids, MI
Avery Mickelson is a Behavior Technician provider in Grand Rapids, MI (NPI 1053266122).
Provider details
- NPI number
- 1053266122
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4234 Cascade Rd Se
Grand Rapids, MI 49546-8384
Phone: (616) 202-4840
Street-level locationGet directions
Mailing address
2537 Abbot Rd Apt 2053
East Lansing, MI 48823-8497
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Frequently asked questions
- What is Avery Mickelson's NPI number?
- Avery Mickelson's National Provider Identifier (NPI) is 1053266122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Avery Mickelson's specialty?
- Avery Mickelson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Avery Mickelson located?
- Avery Mickelson's practice location on file with NPPES is 4234 Cascade Rd Se, Grand Rapids, MI 49546-8384.
- What is Avery Mickelson's phone number?
- The practice phone number listed in the NPPES registry for Avery Mickelson is (616) 202-4840.
- Is Avery Mickelson's NPI active?
- Yes — Avery Mickelson's NPI (1053266122) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.