IndividualActive
Ethan Vanderberg
NPI 1093676116 · Behavior Technician · Grand Rapids, MI
Ethan Vanderberg is a Behavior Technician provider in Grand Rapids, MI (NPI 1093676116).
Provider details
- NPI number
- 1093676116
- 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(47/100 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 Ste 3
Grand Rapids, MI 49546-8384
Phone: (877) 654-4144
Street-level locationGet directions
Mailing address
4234 Cascade Rd Se Ste 3
Grand Rapids, MI 49546-8384
Registry dates
- Enumerated
- 2025-11-19
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Ethan Vanderberg's NPI number?
- Ethan Vanderberg's National Provider Identifier (NPI) is 1093676116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Vanderberg's specialty?
- Ethan Vanderberg is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ethan Vanderberg located?
- Ethan Vanderberg's practice location on file with NPPES is 4234 Cascade Rd Se Ste 3, Grand Rapids, MI 49546-8384.
- What is Ethan Vanderberg's phone number?
- The practice phone number listed in the NPPES registry for Ethan Vanderberg is (877) 654-4144.
- Is Ethan Vanderberg's NPI active?
- Yes — Ethan Vanderberg's NPI (1093676116) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.