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Individual

GINA ANNE CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2460 BURTON ST SE STE 101, GRAND RAPIDS, MI 49546-4800
(616) 278-1201
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB383983
MI

Other

Enumeration date
07/10/2020
Last updated
07/10/2020
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