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Jill Agents

Behavior Analyst β€’ Grand Rapids, MI

Active NPI 1942910773 Individual Practitioner Female Practitioner
Practice location in NPPES

3809 Lake Eastbrook Blvd Se
Grand Rapids, MI 495465931

Call 6166048493 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3809 Lake Eastbrook Blvd Se

Grand Rapids, MI 495465931

Telephone 6166048493
Fax 6166048493

NPI first issued

2022

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: NPI first issued

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, β€œDoes 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Addresses are self-reported to NPPES and may be out of date.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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-24
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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

8 Historical Events
πŸ“
Updated Practice Location June 01, 2023

Registered at 3809 LAKE EASTBROOK BLVD SE, GRAND RAPIDS, MI 495465931 (Tel: 6166048493)

πŸ“
Updated Business Mailing Address June 01, 2023

Registered at 3809 LAKE EASTBROOK BLVD SE, GRAND RAPIDS, MI 495465931 (Tel: 6166048492)

βœ…
NPI Profile Active December 02, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 02, 2022

Registered at 6102 ABBOT RD, EAST LANSING, MI 488231410 (Tel: 9136479676)

πŸ“
Business Mailing Address (Initial Record) December 02, 2022

Registered at 6102 ABBOT RD, EAST LANSING, MI 488231410 (Tel: 9136479676)

πŸ‘€
Provider Name / Credentials (Initial Record) December 02, 2022

Recorded as JILL AGENTS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration December 02, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942910773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2022
Last Update: June 24, 2025
Sole Proprietor: No

Mailing Address

3809 Lake Eastbrook Blvd Se

Grand Rapids, MI 495465931

Phone: 6166048492

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.