Individual
CHARLIE MARIE PLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA LBA
Contact information
Practice address
2787 WILSON AVE NW, GRAND RAPIDS, MI 49534-7510
(616) 915-2066
Mailing address
646 TWIN LAKE DR, HASTINGS, MI 49058-7416
(269) 355-5662
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001971
MI
Other
Enumeration date
01/08/2020
Last updated
10/28/2025
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