Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES LARZELERE
NPI 1043084189
Behavior Technician in Southgate, MI

Active since November 09, 2023
19275 NORTHLINE RD, SOUTHGATE, MI 48195(734) 785-7716 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, Nov 9, 2023 (2 updates tracked since 2023).

About Charles Larzelere NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES LARZELERE (NPI 1043084189) is an individual behavior technician in Southgate, Michigan and active in the NPI registry since November 2023. He maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1043084189
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameCHARLES LARZELERE
Location Address19275 NORTHLINE RDSouthgate, MI 48195-2220
Mailing Address44670 Ann Arbor Rd W Ste 130Plymouth, MI 48170-4085 · (734) 259-4620
Sole ProprietorNo
Enumeration DateNovember 9, 2023
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
NPI 1043084189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
19275 NORTHLINE RD, Southgate, MI 48195

Secondary Practice Location 1

Location 144670 Ann Arbor Rd W Ste 130Plymouth, MI 48170-4085 · Phone (734) 259-4620

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
19275 NORTHLINE RD
SOUTHGATE, MI 48195
Student in an Organized Health Care Education/Training Program
19275 NORTHLINE RD
SOUTHGATE, MI 48195
Nurse Practitioner (Family)
19275 NORTHLINE RD
SOUTHGATE, MI 48195
Social Worker
19275 NORTHLINE RD
SOUTHGATE, MI 48195
Community/Behavioral Health
19275 NORTHLINE RD
SOUTHGATE, MI 48195
Psychologist (Clinical)
19275 NORTHLINE RD
SOUTHGATE, MI 48195
Psychologist
19275 NORTHLINE RD
SOUTHGATE, MI 48195
Social Worker
19275 NORTHLINE RD
SOUTHGATE, MI 48195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Larzelere's NPI number?

The NPI number for Charles Larzelere is 1043084189. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Charles Larzelere located?

Charles Larzelere practices at 19275 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 785-7716.

What is Charles Larzelere's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Charles Larzelere was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.