AVERY MICKELSON
NPI 1053266122
Behavior Technician in Grand Rapids, MI
About Avery Mickelson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERY MICKELSON (NPI 1053266122) is an individual behavior technician in Grand Rapids, Michigan and active in the NPI registry since March 2026.
NPPES Registry Identity
Specialties & Licenses
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.
GRAND RAPIDS, MI 49546
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 Avery Mickelson's NPI number?
The NPI number for Avery Mickelson is 1053266122. It was assigned to this individual provider in the NPPES registry on March 3, 2026.
Where is Avery Mickelson located?
Avery Mickelson practices at 4234 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 202-4840.
What is Avery Mickelson'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 Avery Mickelson was last updated on March 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.