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

Cody Jay Tanis

Individual provider Behavior Technician · NPI 1942912027

Cody Jay Tanis is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

120 Stevens St SW
Grand Rapids, MI 49507-1526
Phone: (855) 832-6727
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 number1942912027
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022
Mailing address2170 17 Mile Rd Ne, Cedar Springs, MI 49319-8458

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