Individual
ANNA LAURINE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 3 MILE RD NW, SUITE 200, GRAND RAPIDS, MI 49544-1691
(855) 832-6727
Mailing address
526 W CENTRE AVE, PORTAGE, MI 49024-5306
(269) 321-9556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/03/2019
Last updated
04/13/2026
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