Individual
MILLIE MWAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 825-5427
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 825-5427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000966
MI
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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