Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avery Gravelyn

Individual provider Behavior Technician · NPI 1306634449

Avery Gravelyn is a Behavior Technician in Portage, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2255 W Centre Ave
Portage, MI 49024-4819
Phone: (269) 241-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1306634449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2025
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address2255 W Centre Ave, Portage, MI 49024-4819

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