Active NPI
Randy Powell
- Behavior Technician
- Grand Rapids, MI
National Provider Identifier
1467227488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4218 Burton St SE
Grand Rapids, MI 49546-6121 - Phone
- (844) 263-1613
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4218 Burton St SE
Grand Rapids, MI 49546-6121
Mailing address
4218 Burton St SE
Grand Rapids, MI 49546-6121
Other practice location 1
4218 Burton St SE
Grand Rapids, MI 49546-6121
Phone (269) 377-0414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1467227488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4218 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4218 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466121",
"telephone_number": "844-263-1613"
}
],
"practiceLocations": [
{
"address_1": "4218 Burton St SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495466121",
"country_code": "US",
"telephone_number": "269-377-0414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "RANDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2025-08-06",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.