NPIMap

Organization Active NPI

MBH ABA Therapy PLLC

  • Behavior Analyst
  • Lowell, MI
National Provider Identifier
1992641245
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MBH ABA THERAPY PLLC
Practice address
1342 Kimber Dr
Lowell, MI 49331-7801
Phone
(616) 585-6760
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Kimberly Blazer, BCBANPI 1174468292
Title
Bcba/Owner
Phone
(616) 585-6760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1342 Kimber Dr
Lowell, MI 49331-7801

Mailing address

1342 Kimber Dr
Lowell, MI 49331-7801
Phone (616) 585-6760

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1992641245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 KIMBER DR",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493317801",
            "telephone_number": "616-585-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 KIMBER DR",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493317801",
            "telephone_number": "616-585-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBH ABA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "BLAZER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "616-585-6760",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.