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Deactivated NPI 1831701499 Deactivated / Inactive NPI Female Practitioner

Kassidi Krzykwa

Behavior Technician • East Lansing, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kassidi Krzykwa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2020
NPI Deactivation Date May 24, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Kassidi Krzykwa was a registered Behavior Technician practicing in East Lansing, MI. Throughout an active medical career spanning 2 years, Kassidi Krzykwa provided care at the practice location at 2875 EYDE PKWY until profile deactivation on 2022-05-24.

Practice Location & Contact Primary Location

Practice Address

2875 Eyde Pkwy

East Lansing, MI 488235399

Telephone 8449690252
Associated Practice Facility / Clinic
🏢 Great Lakes Learning Academy Facility NPI 1356145619

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in East Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
225 Specialists

Practicing in East Lansing, MI (63826 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sydney Hudson

Behavior Technician

NPI 1033908652
Jenisys Henley-Wild

Behavior Technician

NPI 1053012088
Carly Lockhart

Behavior Technician

NPI 1063226611
Joy Miller

Behavior Technician

NPI 1114875150
Valerie Dietsche

Behavior Technician

NPI 1124616776
Caitlin Richards

Behavior Technician

NPI 1124707351

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 24, 2022

Record deactivated on May 24, 2022

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Updated Practice Location February 12, 2021

Registered at 2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 495063155 (Tel: 2486221595)

NPI Profile Active August 17, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2020

Registered at 2875 EYDE PKWY, EAST LANSING, MI 488235399 (Tel: 8449690252)

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Updated Business Mailing Address August 17, 2020

Registered at 2875 EYDE PKWY, EAST LANSING, MI 488235399 (Tel: 8449690252)

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Provider Name / Credentials Updated August 17, 2020

Recorded as KASSIDI KRZYKWA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2020

Behavior Technician

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Initial NPI Registration & Enumeration August 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831701499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2020
Last Update: August 17, 2020
Deactivation Date: May 24, 2022

Mailing Address

2875 Eyde Pkwy

East Lansing, MI 488235399

Phone: 8449690252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.