Individual
MARJORIE ANN HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1149 MADISON AVE SE, GRAND RAPIDS, MI 49507-1214
(616) 915-2066
Mailing address
1149 MADISON AVE SE, GRAND RAPIDS, MI 49507-1214
(616) 915-2066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10408
MI
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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