Kelsey Roberts, BCBA
NPI 1124473574 · Behavior Analyst · Grand Rapids, MI
Provider details
- NPI number
- 1124473574
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 7401000665 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Additional practice locations (3)
- 4630 Hidden Creek LnBridgman, MI 49106-8340Phone: (989) 600-6357
- 921 W Kalamazoo Ave Apt 5Kalamazoo, MI 49007-2369Phone: (989) 600-6357
- 8135 Coxs DrPortage, MI 49002-5897Phone: (989) 600-6357
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2024-05-13
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.