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

Mackenzie Erin Clegg

Individual provider Behavior Analyst · NPI 1013468065

Mackenzie Erin Clegg is a Behavior Analyst in Grand Rapids, Michigan. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Show map & directions

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

Additional practice locations (1)

  • 120 Stevens St Sw, Grand Rapids, MI 49507-1526 — (855) 832-6727

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1013468065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2016
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address14166 8th Ave, Marne, MI 49435-9759

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