The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

252 active clinicians are listed under Behavior Analyst with a practice address in Grand Rapids, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0% of these 252 clinicians have the CMS telehealth indicator.

0% of these 252 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-09

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events

📍

Updated Business Mailing Address July 09, 2026

Registered at 600 3 MILE RD NW, SUITE 200, GRAND RAPIDS, MI 495441691 (Tel: 6164693870)

📍

Updated Practice Location October 08, 2025

Registered at 600 3 MILE RD NW STE 200, GRAND RAPIDS, MI 495441691 (Tel: 6164693870)

📍

Updated Business Mailing Address October 08, 2025

Registered at 600 3 MILE RD NW STE 200, GRAND RAPIDS, MI 495441691 (Tel: 6164693870)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2025

Behavior Analyst

📍

Updated Business Mailing Address November 09, 2021

Registered at 266 SUMMIT PATH, OTSEGO, MI 490789304 (Tel: 6166449630)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2021

Behavior Technician

📍

Updated Practice Location May 11, 2018

Registered at 3338 PINE MEADOW DR SE APT 201, KENTWOOD, MI 495123007 (Tel: 2695695921)

📍

Updated Business Mailing Address May 11, 2018

Registered at 3338 PINE MEADOW DR SE APT 201, KENTWOOD, MI 495123007 (Tel: 2695695921)

👤

Provider Name / Credentials Updated May 11, 2018

Recorded as JENNIFER LIEBER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2018

Behavior Analyst

✅

NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 04, 2017

Registered at 1260 EKHART ST NE, GRAND RAPIDS, MI 495031380 (Tel: 6169422110)

📍

Business Mailing Address (Initial Record) December 04, 2017

Registered at 3300 36TH ST SE, GRAND RAPIDS, MI 495122810

👤

Provider Name / Credentials (Initial Record) December 04, 2017

Recorded as JENNIFER HURDELBRINK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Behavior Technician

🟢

Initial NPI Registration & Enumeration December 04, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336654086

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 04, 2017

Last Update: July 09, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 3 Mile Rd Nw, Suite 200

Grand Rapids, MI 495441691

Phone: 6164693870

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.