LOGAN MALLERY
NPI 1316467285
Behavior Technician in Grand Rapids, MI

Q: What is Logan Mallery's NPI number?

The NPI number for Logan Mallery is 1316467285. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Q: What is Logan Mallery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Logan Mallery was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2017

4829 E BELTLINE AVE NE STE 310, GRAND RAPIDS, MI 49525(616) 279-6414 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2021, Jun 22, 2017 (2 updates tracked since 2017).

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About Logan Mallery NPPES

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

LOGAN MALLERY (NPI 1316467285) is an individual behavior technician in Grand Rapids, Michigan and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1316467285

Entity TypeIndividualMale

Primary Taxonomy106S00000X

Provider Legal NameLOGAN MALLERY

Location Address4829 E BELTLINE AVE NE STE 310Grand Rapids, MI 49525-9350

Mailing Address4829 E Beltline Ave Ne Ste 310Grand Rapids, MI 49525-9350

Phone(616) 279-6414

Sole ProprietorNo

Enumeration DateJune 22, 2017

Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration

NPPES CertifiedDecember 29, 2021

✔ NPI 1316467285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4829 E BELTLINE AVE NE STE 310, Grand Rapids, MI 49525

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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.

MOLLY ROBINSON

Behavior Technician