Individual
ALYSHA NICOLE JOHNSON-CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
16925 ABILITY WAY, GRAND HAVEN, MI 49417-9325
(616) 935-7606
(616) 935-7607
Mailing address
16925 ABILITY WAY, GRAND HAVEN, MI 49417-9325
(616) 935-7606
(616) 935-7607
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942689708
THE SHORELINE CENTER, LLC
MI
Enumeration date
02/16/2022
Last updated
02/16/2022
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