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

Milyan McKissack

Individual provider Behavior Technician · NPI 1114572088

Milyan McKissack is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1114572088
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

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