Individual
ZACHARY LUKE MATHYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
1260 ELKHART ST NE, GRAND RAPIDS, MI 49503
(616) 965-3492
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 965-3492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001933
MI
106S00000X
Behavior Technician
RBT-17-30177
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-1918221
—
MI
Enumeration date
05/15/2018
Last updated
02/23/2026
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