Individual
TAYLOR KETELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10781 E CHERRY BEND RD, TRAVERSE CITY, MI 49684-5249
(231) 268-0007
Mailing address
9820 E JENNINGS DR UNIT 105, TRAVERSE CITY, MI 49684-2761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/07/2023
Last updated
02/07/2026
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