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

Kaylee Bazuin

Individual provider Behavior Technician · NPI 1063204477

Kaylee Bazuin is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3809 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5931
Phone: (616) 604-8492
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 number1063204477
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address3809 Lake Eastbrook Blvd Se, Grand Rapids, MI 49546-5931

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