Individual
ISAAC SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 KENMOOR AVE SUITE 301, PMB 95061, GRAND RAPIDS MI, MI 49546
(267) 300-4857
Mailing address
PO BOX 491, HOWARD CITY, MI 49329-0491
(267) 300-4857
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
7401001192
MI
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
03/09/2025
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