Individual
KENDRA-MARIE MADDISON GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, BCBA, LBA
Contact information
Practice address
424 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(833) 328-8476
Mailing address
424 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(833) 328-8476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003310
MI
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
4351046736
MI
Other
Enumeration date
06/15/2020
Last updated
05/18/2026
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