Avery L Nguyen, MA, BCBA
Behavior Analyst in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1366009656
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1366009656
- Entity type
- Individual (NPI-1)
- Name
- Avery L Nguyen
- Credential
- MA, BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2019
- Certification date
- Oct 24, 2025
- Last updated
- Oct 24, 2025
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 | – | MI | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 106S00000X | Behavior Technician | – | – |
Other names
- Avery Nguyen (Former Name)
Practice location
600 3 Mile Rd NwSuite 200
Grand Rapids, MI 49544-1691
Phone 616-482-7109 · Fax 616-469-3870
Mailing address
600 3 Mile Rd NwSuite 200
Grand Rapids, MI 49544-1691
Phone 616-482-7109 · Fax 616-469-3870
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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