Individual
HEATHER QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 248-5154
(616) 719-1184
Mailing address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 248-5154
(616) 719-1184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001458
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/23/2018
Last updated
09/03/2021
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