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Bethanie Blackann
NPI 1669113478 · Behavior Analyst · Grand Rapids, MI
Bethanie Blackann is a Behavior Analyst provider in Grand Rapids, MI (NPI 1669113478).
Provider details
- NPI number
- 1669113478
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
3300 36th St Se
Grand Rapids, MI 49512-2810
Phone: (616) 942-2810
Street-level locationGet directions
Mailing address
1277 Cobb Dr Se Apt 3a
Grand Rapids, MI 49508-7164
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is Bethanie Blackann's NPI number?
- Bethanie Blackann's National Provider Identifier (NPI) is 1669113478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bethanie Blackann's specialty?
- Bethanie Blackann is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Bethanie Blackann located?
- Bethanie Blackann's practice location on file with NPPES is 3300 36th St Se, Grand Rapids, MI 49512-2810.
- What is Bethanie Blackann's phone number?
- The practice phone number listed in the NPPES registry for Bethanie Blackann is (616) 942-2810.
- Is Bethanie Blackann's NPI active?
- Yes — Bethanie Blackann's NPI (1669113478) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.