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

Mackenzie Larson

Individual provider Behavior Technician · NPI 1972454429

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

In the registry since
2026

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 number1972454429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2026
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address9321 Young Ave Ne, Rockford, MI 49341-9322

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