Individual
MS. MARISA K CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E PARIS AVE SE STE 160, GRAND RAPIDS, MI 49546-8313
(586) 295-7040
Mailing address
601 BOND AVE NW UNIT 606, GRAND RAPIDS, MI 49503-1493
(586) 295-7040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47219
MI
247200000X
Other Technician
—
—
Other
Enumeration date
03/20/2017
Last updated
05/21/2021
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