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TIA D PORTRUM BCBA
NPI 1629769237
Behavior Analyst in Grand Rapids, MI

Active since May 16, 2023
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tia D Portrum Bcba NPPES

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

TIA D PORTRUM BCBA (NPI 1629769237) is an individual behavior analyst provider in Grand Rapids, Michigan and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1629769237
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameTIA D PORTRUMCredential: BCBA
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-2110
Phone(616) 942-2110
Sole ProprietorNo
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1629769237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
3300 36TH ST SE, Grand Rapids, MI 49512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, McLaren Health Plan Community, Priority Health.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.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

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 Tia Portrum's NPI number?

The NPI number for Tia Portrum is 1629769237. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Tia Portrum located?

Tia Portrum practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Tia Portrum's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Tia Portrum accept?

Health plans from Blue Care Network of Michigan, McLaren Health Plan Community and Priority Health list Tia Portrum 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 Tia Portrum was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.