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

Mitchell Robert Tiell, PA

Individual provider Behavior Technician · NPI 1255057873

Mitchell Robert Tiell, PA is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

301 Michigan St NE
Grand Rapids, MI 49503-3314
Phone: (616) 331-5700
Fax: (616) 331-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1255057873
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2022
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address1 Campus Dr, Allendale, MI 49401-9403

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