McKenna Bartley
Behavior Analyst in Zeeland, MI. Individual provider (NPI-1).
NPI number1306457254
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1306457254
- Entity type
- Individual (NPI-1)
- Name
- McKenna Bartley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | MI | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
201 Royal Park DrZeeland, MI 49464-2040
Phone 616-970-4172
Mailing address
201 Royal Park DrZeeland, MI 49464-2040
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Behavior Analyst providers in Zeeland · All 586 providers in Zeeland
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