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

LARISSA LERTOLA BCBA
NPI 1720577232
Behavior Analyst in Grand Rapids, MI

Q: What is Larissa Lertola's NPI number?

The NPI number for Larissa Lertola is 1720577232. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Q: What is Larissa Lertola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Larissa Lertola was last updated on September 15, 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.

Active since May 09, 2018

600 3 MILE RD NW STE 200, GRAND RAPIDS, MI 49544(855) 832-6727(772) 675-9100 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Apr 7, 2025, Nov 18, 2024 and 6 more (9 updates tracked since 2018).

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About Larissa Lertola Bcba NPPES

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

LARISSA LERTOLA BCBA (NPI 1720577232) is an individual behavior analyst provider in Grand Rapids, Michigan, licensed in Michigan (7401002764) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1720577232

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameLARISSA LERTOLACredential: BCBA

Location Address600 3 MILE RD NW STE 200Grand Rapids, MI 49544-1691

Mailing Address600 3 Mile Rd Nw Ste 200Grand Rapids, MI 49544-1691 · (855) 832-6727 · Fax (772) 675-9100

Phone(855) 832-6727

Fax(772) 675-9100

Sole ProprietorNo

Enumeration DateMay 9, 2018

Last NPPES UpdateSeptember 15, 20269 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1720577232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MI · 7401002764

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.

Also ListedTechnician/TechnologistTaxonomy 156F00000X

600 3 MILE RD NW STE 200, Grand Rapids, MI 49544

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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.

LEEYAH SAMUELS

Behavior Technician