IndividualActive
Rebekah Clendenon
NPI 1972275329 · Behavior Technician · Grand Rapids, MI
Provider details
- NPI number
- 1972275329
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 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
2 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
790 Fuller Ave Ne
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Street-level locationGet directions
Mailing address
790 Fuller Ave Ne
Grand Rapids, MI 49503-1918
Additional practice locations (1)
- 120 Stevens St SwGrand Rapids, MI 49507-1526Phone: (231) 571-7580
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.