NPI 1558926261 · live from the CMS NPI Registry
Alexis Renee Andersen, BCaBA
Behavior Analyst in Grand Rapids, MI. National Provider Identifier 1558926261, active.
NPI record
| NPI | 1558926261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 551 36th St. Se, Grand Rapids, MI 49548 |
| Practice phone | 844-244-1818 |
| Mailing address | 1500 Douglas Road, Ste 230, Coral Gables, FL 33134 |
| Enumerated | May 8, 2019 |
| Last updated | September 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.