Charlie Marie Planck, BCBA LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001971 Issued in MI

Practice address

2787 Wilson Ave NW
Grand Rapids, MI 49534-7510

Phone

(616) 915-2066

NPI assigned

Jan 8, 2020

Last updated

Oct 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Analysts of West Michigan, LLC

  • Community/Behavioral Health Agency
  • Walker, MI
  • NPI 1487035879
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1215577226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 TWIN LAKE DR",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490587416",
            "telephone_number": "269-355-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 WILSON AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347510",
            "telephone_number": "616-915-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANCK",
        "first_name": "CHARLIE",
        "middle_name": "MARIE",
        "credential": "BCBA LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynne Pitzer, MSPT
• Maira Pizano
• Yuri Pizano, RN
• Sarah Jordan Plachinski, MD
• Plainfield Community Counseling
• Planned Parenthood of West & Northern Michigan
• Planned Parenthood of West and Northern Mi
• Planned Parenthood of West and Northern Michigan
• Planned Parenthood of West and Northern Michigan, Inc.
• James William Plantenga, LMSW

• Behavior Analyst in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.