Individual
ANDREA RENEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 EKHART ST NE, GRAND RAPIDS, MI 49503-1380
(616) 965-3492
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
03/17/2025
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