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Individual

ALLYSON WHALEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(855) 832-6727
Mailing address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/27/2018
Last updated
07/21/2021
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