Individual
SAMANTHA KERSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 301-8000
Mailing address
755 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
7402000207
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/10/2020
Last updated
03/24/2025
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