Individual
KENDRA-MARIE MADDISON GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, BCBA, LBA
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
(616) 365-8971
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
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
06/22/2026
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