Individual
CARLEY ANNE JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
Mailing address
6268 REDINGTON CT SE, ADA, MI 49301-9065
(616) 485-0178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11615
IL
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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