Mackenzie Bowling
Individual provider Active NPI Behavior Technician · Grandville, MI
NPI 1760375760 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1760375760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 42 44TH St SW
Grandville, MI 49418-2177 - Phone
- (616) 344-4508
- NPI assigned
- May 30, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
42 44TH St SW
Grandville, MI 49418-2177
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818
Other providers in Grandville, MI
- Lisa Bouma
- Melissa R Bouma
- Tasha Bourne
- Daniel G Bouwens
- Jackie A Bouwman
- Hailey Anna Bowman
- Susan Ruth Branon
- Sara Marie Bredt
- Brian Cilla DDS Ms PC
- Mikayla M Briggs
All providers in Grandville, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.