Active NPI
Jacob Grappin
- Behavior Technician
- Saint Clair Shores, MI
National Provider Identifier
1588527410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1467554
- Practice address
- 34159 Jefferson Ave
Saint Clair Shores, MI 48082-1190 - Phone
- (596) 220-2420
- NPI assigned
- Dec 8, 2025
- Last updated
- Dec 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | BACB1467554 | MI | Primary |
Addresses
Primary practice location
34159 Jefferson Ave
Saint Clair Shores, MI 48082-1190
Mailing address
1893 Hickory LN Apt 203
Imlay City, MI 48444-8528
Phone (810) 322-9451
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1467554 | MI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1588527410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1893 HICKORY LN APT 203",
"city": "IMLAY CITY",
"state": "MI",
"postal_code": "484448528",
"telephone_number": "810-322-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34159 JEFFERSON AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821190",
"telephone_number": "596-220-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAPPIN",
"first_name": "JACOB",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "BACB1467554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.