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Individual

GARRETT HARRY BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4893 E BELTLINE AVE NE # 310, GRAND RAPIDS, MI 49525-9787
(616) 279-6414
Mailing address
197 CEDAR STREET, MANCELONA, MI 49659
(586) 322-1720

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002765
MI
106S00000X
Behavior Technician

Other

Enumeration date
01/16/2019
Last updated
05/05/2025
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