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

Avery Mickelson

Individual provider Behavior Technician · NPI 1053266122

Avery Mickelson is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4234 Cascade Rd SE
Grand Rapids, MI 49546-8384
Phone: (616) 202-4840
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 number1053266122
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

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