GWENDOLYN MCCORMACK
NPI 1396597654
Behavior Technician in Portage, MI

Active since April 02, 2024
5250 LOVERS LN STE 130, PORTAGE, MI 49002(269) 425-1536 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2025, Apr 2, 2024 (2 updates tracked since 2024).

About Gwendolyn Mccormack NPPES

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

GWENDOLYN MCCORMACK (NPI 1396597654) is an individual behavior technician in Portage, Michigan and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1396597654
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameGWENDOLYN MCCORMACK
Location Address5250 LOVERS LN STE 130Portage, MI 49002-1579
Mailing Address2805 S Industrial Hwy Ste 100Ann Arbor, MI 48104-6791
Sole ProprietorNo
Enumeration DateApril 2, 2024
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1396597654 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.

5250 LOVERS LN STE 130, Portage, MI 49002

Accepted Insurance

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.

Behavior Technician
5250 LOVERS LN STE 130
PORTAGE, MI 49002
Behavior Technician
5250 LOVERS LN STE 130
PORTAGE, MI 49002
Behavior Technician
5250 LOVERS LN STE 130
PORTAGE, MI 49002
Behavior Technician
5250 LOVERS LN STE 130
PORTAGE, MI 49002
Assistant Behavior Analyst
5250 LOVERS LN STE 130
PORTAGE, MI 49002
Behavior Technician
5250 LOVERS LN STE 130
PORTAGE, MI 49002
Behavior Analyst
5250 LOVERS LN STE 130
PORTAGE, MI 49002
Behavior Technician
5250 LOVERS LN STE 130
PORTAGE, MI 49002

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 Gwendolyn Mccormack's NPI number?

The NPI number for Gwendolyn Mccormack is 1396597654. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Gwendolyn Mccormack located?

Gwendolyn Mccormack practices at 5250 Lovers Ln Ste 130, Portage, MI 49002. The listed phone number is (269) 425-1536.

What is Gwendolyn Mccormack's specialty?

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

What insurance does Gwendolyn Mccormack accept?

Health plans from CareSource list Gwendolyn Mccormack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwendolyn Mccormack was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.