Individual
TIMOTHY HOLLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4234 CASCADE RD SE STE 3, GRAND RAPIDS, MI 49546-8384
(616) 202-4840
Mailing address
277 RIVER PINE DR, LOWELL, MI 49331-9574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
03/04/2026
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