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

Nicole Marie McClellan

Individual provider Behavior Technician · NPI 1053923789

Nicole Marie McClellan is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2460 Burton St SE Ste 101
Grand Rapids, MI 49546-4800
Phone: (616) 278-1201
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 number1053923789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

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