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Deactivated NPI 1164012779 Deactivated / Inactive NPI Female Practitioner

Rebecca Fellows

Behavior Analyst • Manistee, 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, Rebecca Fellows has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2021
NPI Deactivation Date July 02, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Rebecca Fellows was a registered Behavior Analyst practicing in Manistee, MI. Throughout an active medical career spanning 5 years, Rebecca Fellows provided care at the practice location at 310 GLOCHESKI DR until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

310 Glocheski Dr

Manistee, MI 496602639

Telephone 2313091712
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Manistee, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Manistee, MI (3207 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 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.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Manon Lutzke

Social Worker

NPI 1003585001
Jessica Huggard

Registered Nurse

NPI 1104419696
Crystal Falk

Registered Nurse

NPI 1104596964
Kelli Pettit

Case Manager/Care Coordinator

NPI 1225626930
Amy Lewis

Nurse's Aide

NPI 1407447089
Jamie Rosenow

Behavior Technician

NPI 1467043539

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active January 19, 2021

NPI status registered as active in NPPES database

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Updated Practice Location January 19, 2021

Registered at 310 GLOCHESKI DR, MANISTEE, MI 496602639 (Tel: 2313091712)

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Updated Business Mailing Address January 19, 2021

Registered at 310 GLOCHESKI DR, MANISTEE, MI 496602639 (Tel: 2313091712)

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Provider Name / Credentials Updated January 19, 2021

Recorded as REBECCA FELLOWS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Behavior Analyst

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Initial NPI Registration & Enumeration January 19, 2021

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: 1164012779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2021
Last Update: January 19, 2021
Deactivation Date: July 02, 2026

Mailing Address

310 Glocheski Dr

Manistee, MI 496602639

Phone: 2313091712

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.