Individual
MCKENNA BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 ROYAL PARK DR, ZEELAND, MI 49464-2040
(616) 970-4172
Mailing address
201 ROYAL PARK DR, ZEELAND, MI 49464-2040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
MI
Other
Enumeration date
08/13/2020
Last updated
07/01/2024
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