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Katelyn Estrem , BCBA, LBA

Behavior Analyst β€’ Grand Rapids, MI

Active NPI 1558975755 Individual Practitioner Female Practitioner
Practice location in NPPES

1260 Ekhart St Se
Grand Rapids, MI 49503

Call 6169422110 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

1260 Ekhart St Se

Grand Rapids, MI 49503

Telephone 6169422110
Organization at the Same NPPES Address or Phone
Wedgwood Christian Services Facility NPI 1215047667

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

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Addresses are self-reported to NPPES and may be out of date.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: 2026-03-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401003009

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

15 Historical Events
πŸ“
Updated Practice Location March 02, 2026

Registered at 1260 EKHART ST SE, GRAND RAPIDS, MI 49503 (Tel: 6169422110)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2026

Behavior Analyst (license number reported to NPPES: MI 7401003009)

πŸ“
Updated Practice Location October 22, 2025

Registered at 3300 36TH ST SE, GRAND RAPIDS, MI 495122810 (Tel: 6169422110)

πŸ“
Updated Business Mailing Address October 22, 2025

Registered at 3300 36TH ST SE, GRAND RAPIDS, MI 495122810 (Tel: 6169422110)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Behavior Analyst

πŸ“
Updated Practice Location June 05, 2024

Registered at 11121 KINGSTON PIKE STE F, KNOXVILLE, TN 379342864 (Tel: 8653280841)

πŸ“
Updated Business Mailing Address June 05, 2024

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

πŸ‘€
Provider Name / Credentials Updated June 05, 2024

Recorded as KATELYN ESTREM, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2024

Behavior Analyst (license number reported to NPPES: TN 1550)

βœ…
NPI Profile Active September 04, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 04, 2020

Registered at 9038 CROSS PARK DR STE 105, KNOXVILLE, TN 379234729 (Tel: 8653946612)

πŸ“
Business Mailing Address (Initial Record) September 04, 2020

Registered at 9038 CROSS PARK DR STE 105, KNOXVILLE, TN 379234729 (Tel: 8653946612)

πŸ‘€
Provider Name / Credentials (Initial Record) September 04, 2020

Recorded as KATELYN ESTREM, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2020

Behavior Technician (license number reported to NPPES: TN RBT-20-132529)

🟒
Initial NPI Registration & Enumeration September 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558975755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2020
Last Update: March 02, 2026
Sole Proprietor: No

Mailing Address

3300 36th St Se

Grand Rapids, MI 495122810

Phone: 6169422110

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.