Individual
JACOB BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
668 3 MILE RD NW, GRAND RAPIDS, MI 49544-8219
(616) 649-3129
Mailing address
668 3 MILE RD NW, GRAND RAPIDS, MI 49544-8219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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