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

Tia D Portrum, BCBA

Individual provider Behavior Analyst · NPI 1629769237

Tia D Portrum, BCBA is a Behavior Analyst in Grand Rapids, Michigan. Registered with an NPI since 2023.

In the registry since
2023
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

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone: (616) 942-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1629769237
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address3300 36th St Se, Grand Rapids, MI 49512-2810

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