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

Mark Zellefrow, BCBA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093145120

Mark Zellefrow, BCBA is a Student in an Organized Health Care Education/Training Program in Shelby Township, Michigan. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

15023 21 Mile Rd
Shelby Township, MI 48315-5024
Phone: (586) 286-9644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-16-24832
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093145120
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedNovember 27, 2013
Last updated in NPPESFebruary 12, 2019

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