Individual
MADISON JEAN KORESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
Mailing address
96 BELLEVIEW DR, IONIA, MI 48846-8479
(810) 931-3448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002603
MI
Other
Enumeration date
12/05/2022
Last updated
11/05/2024
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